Prosthetic Technology Center, Inc

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

1774 Issued in TX

Legal business name

PROSTHETIC TECHNOLOGY CENTER, INC

Practice address

7254 Blanco Rd Ste 200
San Antonio, TX 78216-4930

Phone

(210) 600-9884

Fax

(210) 600-9883

NPI assigned

Oct 4, 2017

Organization subpart

No

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

Authorized official

Name

John Liber Mosquera Castro, CP/LPNPI 1396297982

Title

Prosthetist/President

Phone

(562) 373-8667

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Liber Mosquera Castro, CP/LP

  • Specialist
  • Boca Raton, FL
  • NPI 1396297982
  NPD Authorized official

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1023528015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9069 W 33RD AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330181883",
            "telephone_number": "562-373-8667",
            "fax_number": "844-828-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7254 BLANCO RD STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164930",
            "telephone_number": "210-600-9884",
            "fax_number": "210-600-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC TECHNOLOGY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "MOSQUERA CASTRO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LIBER",
        "authorized_official_title_or_position": "PROSTHETIST/PRESIDENT",
        "authorized_official_telephone_number": "562-373-8667",
        "authorized_official_credential": "CP/LP"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "1774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prospect Nix Home Health and Hospice, LLC
• Prosports Rehab
• Chester Prosser Jr.
• Prosthetic Innovations Inc
• Prosthetic Science San Antonio Inc
• Prosthetics at Home LLC
• Kevin Proud, M.D.
• Charles Allen Proulx, PA-C
• Steven E Prouty
• Ellyse Nicole Provencio

• Prosthetist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Prosthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.