Provider Demographics
NPI:1053784868
Name:MEDINTEREX LLC
Entity type:Organization
Organization Name:MEDINTEREX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:IVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:REMACHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-622-5302
Mailing Address - Street 1:1300 S BRYAN ROAD
Mailing Address - Street 2:STE. 104
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-6688
Mailing Address - Country:US
Mailing Address - Phone:956-583-0004
Mailing Address - Fax:956-583-5790
Practice Address - Street 1:1400 S ST MARYS ST
Practice Address - Street 2:
Practice Address - City:FALFURRIAS
Practice Address - State:TX
Practice Address - Zip Code:78355-5037
Practice Address - Country:US
Practice Address - Phone:361-233-0077
Practice Address - Fax:956-790-0468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging SupplierGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXR39899OtherTDHS