Organization Active NPI

Manza Diagnostic Ultrasound

  • Sonography Specialist/Technologist Cardiovascular
  • San Antonio, TX
National Provider Identifier
1174574891
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
License
51193 Issued in TX
Legal business name
MANZA DIAGNOSTIC ULTRASOUND
Practice address
5202 Canary Holw
San Antonio, TX 78222-4902
Phone
(210) 333-9143
Fax
(210) 333-6664
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Cesar N/a Manzanera, ULTRASOUND TECH
Title
President
Phone
(210) 333-9143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist CardiovascularGroup: 193400000X SINGLE SPECIALTY GROUP 246XS1301X 51193 TX Primary

Addresses

Primary practice location

5202 Canary Holw
San Antonio, TX 78222-4902

Mailing address

5202 Canary Holw
San Antonio, TX 78222-4902
Phone (210) 333-9143

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1174574891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 CANARY HOLW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782224902",
            "telephone_number": "210-333-9143",
            "fax_number": "210-333-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 CANARY HOLW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782224902",
            "telephone_number": "210-333-9143",
            "fax_number": "210-333-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANZA DIAGNOSTIC ULTRASOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "MANZANERA",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "N/A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-333-9143",
        "authorized_official_credential": "ULTRASOUND TECH"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "TX",
            "license": "51193",
            "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 Sep 6, 2023; 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.