Resendez, Juan Pablo

Resendez, Juan Pablo is an sole proprietor health care provider with primary practice located at 1740 Boca Chica Blvd Suite 400, Brownsville TX 78520-8132. He recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is his primary health care specialty. Resendez, Juan Pablo can be contacted via phone (956) 550-0632.

Contact Information

Primary practice address
1740 Boca Chica Blvd Suite 400 Brownsville TX 78520-8132
Phone: (956) 550-0632
Fax: (956) 541-4007
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 31400 Texas
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 16854 Texas

Profile Details

NPI number 1457511370
LBN Legal business name Resendez, Juan Pablo
Credentials R.PH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2008
Last updated May 6th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457511370 NPPES
Texas Other 4596081 NCPDP
Texas Other 74-2765978 NCPDP
Texas MEDICAID 144372 NCPDP

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