Individual provider Active NPI

Regino V Garza

  • Prosthetics Case Management
  • San Antonio, TX
National Provider Identifier
1093046104
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
68-10604 Issued in TX
Practice address
16607 Blanco Road
Suite 303
San Antonio, TX 78232-1940
Phone
(361) 230-0466
Fax
(210) 493-9504
NPI assigned
Jan 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X 68-10604 TX Primary

Addresses

Primary practice location

16607 Blanco Road
Suite 303
San Antonio, TX 78232-1940

Mailing address

16607 Blanco Road
Suite 303
San Antonio, TX 78232-1940
Phone (361) 230-0466

Other identifiers 2

IdentifierTypeStateIssuer
C21287OtherTXBOARD FOR ORTHOTISTS AND PROSTHISTS CERTIFICATION
209-10982OtherTXTEXAS BOARD OF ORTHOTISTS AND PROSTHECS LICENSE AND CONTROL #68-10604

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

State licenses

LicenseStateTypeSpecialty
68-10604TXMDProsthetics Case Management

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1093046104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16607 BLANCO ROAD",
            "address_2": "SUITE 303",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321940",
            "telephone_number": "361-230-0466",
            "fax_number": "210-493-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16607 BLANCO ROAD",
            "address_2": "SUITE 303",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321940",
            "telephone_number": "361-230-0466",
            "fax_number": "210-493-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "REGINO",
        "middle_name": "V",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "TX",
            "license": "68-10604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD FOR ORTHOTISTS AND PROSTHISTS CERTIFICATION",
            "identifier": "C21287",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF ORTHOTISTS AND PROSTHECS LICENSE AND CONTROL #68-10604",
            "identifier": "209-10982",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 29, 2010; 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.