Provider Demographics
NPI:1699548446
Name:RIO DME LLC
Entity type:Organization
Organization Name:RIO DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-437-9155
Mailing Address - Street 1:PO BOX 662
Mailing Address - Street 2:
Mailing Address - City:LA GRULLA
Mailing Address - State:TX
Mailing Address - Zip Code:78548-0662
Mailing Address - Country:US
Mailing Address - Phone:956-437-9155
Mailing Address - Fax:
Practice Address - Street 1:5206 E US HIGHWAY 83 STE 3
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-6312
Practice Address - Country:US
Practice Address - Phone:956-437-9155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies