Organization Active NPI

Veronica R Mendez

Doing business as miracle health products

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1073522413
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VERONICA R MENDEZ
Doing business as
miracle health products
Practice address
660 SW Military Dr
Suite V
San Antonio, TX 78221-1645
Phone
(210) 927-2006
Fax
(210) 927-2051
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mrs. Veronica R Mendez, DME PROVIDERNPI 1326211061
Title
Owner
Phone
(210) 927-2006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

660 SW Military Dr
Suite V
San Antonio, TX 78221-1645

Mailing address

660 S W Military Drive
Suite V
San Antonio, TX 78221-1686
Phone (210) 927-2006

Other identifiers 1

IdentifierTypeStateIssuer
169698102MedicaidTX

Other names 1

  • miracle health products Doing business as

National Provider Directory

National Provider Directory

Locations

660 SW Military Dr
Ste V
San Antonio, TX 78221
Phone (210) 927-2006

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1073522413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S W MILITARY DRIVE",
            "address_2": "SUITE V",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211686",
            "telephone_number": "210-927-2006",
            "fax_number": "210-927-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 SW MILITARY DR",
            "address_2": "SUITE V",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211645",
            "telephone_number": "210-927-2006",
            "fax_number": "210-927-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERONICA R MENDEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-927-2006",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DME PROVIDER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169698102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "miracle health products",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.