Active NPI
Manza Diagnostic Ultrasound
- Sonography Specialist/Technologist Cardiovascular
- San Antonio, TX
National Provider Identifier
1174574891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Specialist/Technologist Cardiovascular
- License
- 51193
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Specialist/Technologist Cardiovascular | 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 DirectoryNPI 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.