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JUAN LARA
NPI 1760820245
Durable Medical Equipment & Medical Supplies in Laredo, TX

Active since June 06, 2013
1202 CORPUS CHRISTI ST., LAREDO, TX 78040(956) 568-1572(956) 568-4720 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 21, 2021, Jan 8, 2020, Dec 10, 2015 (3 updates tracked since 2015).

About Juan Lara NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN LARA (NPI 1760820245) is an individual durable medical equipment & medical supplies provider in Laredo, Texas, licensed in Texas (6758930001) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1760820245
Entity TypeIndividualMale
Primary Taxonomy332B00000X
Provider Legal NameJUAN LARA
Location Address1202 CORPUS CHRISTI ST.Laredo, TX 78040-5353
Mailing Address1202 Corpus Christi StLaredo, TX 78040-5353 · (956) 568-1572 · Fax (956) 568-4720
Phone(956) 568-1572
Fax(956) 568-4720
Sole ProprietorYes
Enumeration DateJune 6, 2013
Last NPPES UpdateMay 21, 20213 updates tracked since enumeration
NPPES CertifiedMay 21, 2021
✔ NPI 1760820245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in TX · 6758930001
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1202 CORPUS CHRISTI ST., Laredo, TX 78040
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, revalidation, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juan Lara is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20130613000233DME · Medical Supply CompanyDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Lara's NPI number?

The NPI number for Juan Lara is 1760820245. It was assigned to this individual provider in the NPPES registry on June 6, 2013.

Where is Juan Lara located?

Juan Lara practices at 1202 Corpus Christi St., Laredo, TX 78040. The listed phone number is (956) 568-1572.

What is Juan Lara's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Is Juan Lara enrolled in Medicare?

Yes. Juan Lara is registered in the Medicare PECOS enrollment system.

When is Juan Lara's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this provider (Texas, Medical Supply Company) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Juan Lara was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.