Active NPI
San Antonio Medical Supplies & Home Modifications
- Durable Medical Equipment & Medical Supplies
- San Antonio, TX
National Provider Identifier
1104153469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0108615
- Legal business name
- SAN ANTONIO MEDICAL SUPPLIES & HOME MODIFICATIONS
- Practice address
- 1500 Fredericksburg Rd
Ste B
San Antonio, TX 78201-5029 - Phone
- (210) 737-7269
- Fax
- (210) 737-7262
- NPI assigned
- Nov 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Donna Reyna
- Title
- Owner
- Phone
- (210) 737-7269
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0108615 | TX | Primary |
Addresses
Primary practice location
1500 Fredericksburg Rd
Ste B
San Antonio, TX 78201-5029
Mailing address
1500 Fredericksburg Rd
Ste B
San Antonio, TX 78201-5029
Phone (210) 737-7269
National Provider Directory
National Provider DirectoryLocations
1500 Fredericksburg Rd
#B
San Antonio, TX 78201
Phone (210) 737-7267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340841600000",
"number": "1104153469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 FREDERICKSBURG RD",
"address_2": "STE B",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782015029",
"telephone_number": "210-737-7269",
"fax_number": "210-737-7262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 FREDERICKSBURG RD",
"address_2": "STE B",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782015029",
"telephone_number": "210-737-7269",
"fax_number": "210-737-7262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN ANTONIO MEDICAL SUPPLIES & HOME MODIFICATIONS",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-06",
"last_updated": "2012-06-28",
"status": "A",
"authorized_official_last_name": "REYNA",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-737-7269",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0108615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- San Antonio Medical Clinic PA
- San Antonio Medical Equipment, Inc.
- San Antonio Medical Laboratories
- San Antonio Medical Supplies
- San Antonio Medical Supplies
- San Antonio Medical Supplies LLC
- San Antonio Metopolitan Healthy Start
- San Antonio Metropolitan Health District
- San Antonio Metropolitan Health District
- San Antonio Metropolitan Health District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.