Shingaluz Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

101574 Issued in TX

Legal business name

SHINGALUZ INC

Practice address

511 Jackson Keller Rd
San Antonio, TX 78216-7120

Phone

(210) 949-0600

Fax

(210) 764-5471

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Enrique Cuentas, RN, CPED

Title

Administrator

Phone

(210) 949-0900

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1063415057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 JACKSON KELLER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167120",
            "telephone_number": "210-949-0600",
            "fax_number": "210-764-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 JACKSON KELLER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167120",
            "telephone_number": "210-949-0600",
            "fax_number": "210-764-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINGALUZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "CUENTAS",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-949-0900",
        "authorized_official_credential": "RN, CPED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "58074",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "101574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154577401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.