Organization Active NPI

San Antonio Medical Supplies & Home Modifications

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1104153469
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0108615 Issued in TX
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

Updated by the provider on Jun 28, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.