Lorenco Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

E6481 Issued in TX

Legal business name

LORENCO INC

Doing business as

Austin Hwy-Village Drive Clinic

Practice address

8530 Village Dr
San Antonio, TX 78217-5504

Phone

(210) 828-4404

Fax

(210) 828-4982

NPI assigned

Apr 1, 2014

Last updated

Apr 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elias Jurado Lorenzana, M.D.

Title

Medical Director

Phone

(210) 828-4404

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Austin Hwy-Village Drive Clinic Doing business as

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1154749737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 VILLAGE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175504",
            "telephone_number": "210-828-4404",
            "fax_number": "210-828-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 VILLAGE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175504",
            "telephone_number": "210-828-4404",
            "fax_number": "210-828-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORENCO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "LORENZANA",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "JURADO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "210-828-4404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "E6481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1700867934",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00FT10",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Hwy-Village Drive Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Loredo, RN
• Melanie Marie Loredo
• Rebecca Loredo, MD
• Loree-Kay, LLC (Home Helpers 58112)
• Loren D Alves, DMD, PA
• Heather Dawn Lorenz, RN,MSN
• Lorenzana Enterprise, LLC
• Eduardo R Lorenzana, DDS MS
• Jonathan Lorenzana
• Laura Lee Lorenzana, LBSW

• Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.