Blazing Indigo LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1412 Issued in TX

Legal business name

BLAZING INDIGO LLC

Doing business as

Valley Medical Foot Care

Practice address

409 W FM 495
San Juan, TX 78589-3717

Phone

(956) 782-6200

Fax

(956) 782-6202

NPI assigned

Mar 31, 2010

Last updated

Mar 31, 2010By 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

Mrs. Natasha E Beltre

Title

Ceo

Phone

(956) 782-6200

Specialties & licenses 2

Addresses

Other names 1

• VALLEY MEDICAL FOOT CARE Doing business as

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1306161567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W FM 495",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893717",
            "telephone_number": "956-782-6200",
            "fax_number": "956-782-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W FM 495",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893717",
            "telephone_number": "956-782-6200",
            "fax_number": "956-782-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAZING INDIGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "BELTRE",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-782-6200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1521",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY MEDICAL FOOT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bella Vida DME , LLC.
• Diana Marilyn Beltran, LPC
• Franklin Beltre, DPM
• Marisol D. Benavidez, M.D.
• Isabella Lauren Blanco
• Blessed Primary Home Care, LLC
• Karl Omer Boltie, DDS
• Brenda Amador (Semper Fi Medical and Oxygen Supply)
• Maria Francisca Martinez Briones, R.PH.
• Diana Elisa Bueno

• Foot & Ankle Surgery Podiatrist in San Juan, TX
• Providers in San Juan, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.