Superior Prosthetics & Orthotics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

428 Issued in TX

Legal business name

SUPERIOR PROSTHETICS & ORTHOTICS LLC

Doing business as

Bacilio V. Moreno

Practice address

7400 Louis Pasteur
Ste 202
San Antonio, TX 78229-4542

Phone

(210) 593-0953

Fax

(210) 593-0954

NPI assigned

Apr 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bacilio V. Moreno Sr., L.P.

Title

Licensed Prosthetist

Phone

(210) 593-0953

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bacilio V. Moreno Doing business as

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1235195330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 LOUIS PASTEUR",
            "address_2": "STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294542",
            "telephone_number": "210-593-0953",
            "fax_number": "210-593-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 LOUIS PASTEUR",
            "address_2": "STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294542",
            "telephone_number": "210-593-0953",
            "fax_number": "210-593-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PROSTHETICS & ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "BACILIO",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "LICENSED PROSTHETIST",
        "authorized_official_telephone_number": "210-593-0953",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "L.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110058-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bacilio V. Moreno",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Superior Hospice V, LLC
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• Superior Hospice VIII LLC
• Superior Neuromonitoring, PLLC
• Superior Prosthetics & Orthotics LLC
• Superior Rehab Tech., Inc.
• Superior Shuttle LLC
• Superior Sleep Care LLC
• Supported Services LLC

• Prosthetic/Orthotic Supplier in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.