NPIMap

Organization Active NPI

Gmit Texas LLC

Doing business as UC4Life Wellness Center- Stone Oak

  • Nutrition Chiropractor
  • San Antonio, TX
National Provider Identifier
1346664844
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
11313 Issued in TX
Legal business name
GMIT TEXAS LLC
Doing business as
UC4Life Wellness Center- Stone Oak
Practice address
540 Madison Oak Dr
Ste. 140
San Antonio, TX 78258-3943
Phone
(210) 529-7090
Fax
(210) 579-6729
NPI assigned
Feb 5, 2014
Last updated
Feb 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Dr. Jacob Liserio Torres, DC
Title
President
Phone
(210) 897-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 11313 TX Primary

Addresses

Primary practice location

540 Madison Oak Dr
Ste. 140
San Antonio, TX 78258-3943

Mailing address

540 Madison Oak Dr
Ste. 140
San Antonio, TX 78258-3943
Phone (210) 529-7090

Other identifiers 1

IdentifierTypeStateIssuer
1689905390OtherTXINDIVIDUAL NPI

Other names 1

  • UC4Life Wellness Center- Stone Oak Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gmit Texas LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1346664844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK DR",
            "address_2": "STE. 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583943",
            "telephone_number": "210-529-7090",
            "fax_number": "210-579-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK DR",
            "address_2": "STE. 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583943",
            "telephone_number": "210-529-7090",
            "fax_number": "210-579-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMIT TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "LISERIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-897-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "TX",
            "license": "11313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1689905390",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UC4Life Wellness Center- Stone Oak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 5, 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.