Individual provider Active NPI

Juan Roberto Salinas Jr., CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Shavano Park, TX
National Provider Identifier
1023429289
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
License
2286
Practice address
3502 Paesanos Pkwy
Suite 100
Shavano Park, TX 78231-1225
Phone
(210) 598-2801
Fax
(210) 598-7268
NPI assigned
May 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X 2286 Primary

Addresses

Primary practice location

3502 Paesanos Pkwy
Suite 100
Shavano Park, TX 78231-1225

Mailing address

PO Box 592442
San Antonio, TX 78259-0172
Phone (210) 598-2801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1023429289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 592442",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590172",
            "telephone_number": "210-598-2801",
            "fax_number": "210-598-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 PAESANOS PKWY",
            "address_2": "SUITE 100",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311225",
            "telephone_number": "210-598-2801",
            "fax_number": "210-598-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALINAS",
        "first_name": "JUAN",
        "middle_name": "ROBERTO",
        "name_suffix": "Jr.",
        "credential": "CNIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": "2286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shavano Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.