NPIMap

Organization Active NPI

Bravo Therapy and Independent Living Center LLC

  • Clinic/Center
  • San Antonio, TX
National Provider Identifier
1376126979
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BRAVO THERAPY AND INDEPENDENT LIVING CENTER LLC
Practice address
327 W Sunset Rd Apt 1303
San Antonio, TX 78209-1703
Phone
(626) 664-4992
NPI assigned
Apr 30, 2021
Last updated
May 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Hiram Jair Corona MartinezNPI 1558653782
Title
Managing Member
Phone
(210) 390-1795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

327 W Sunset Rd Apt 1303
San Antonio, TX 78209-1703

Mailing address

327 W Sunset Rd Apt 1303
San Antonio, TX 78209-1703

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1376126979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 W SUNSET RD APT 1303",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 W SUNSET RD APT 1303",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091703",
            "telephone_number": "626-664-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO THERAPY AND INDEPENDENT LIVING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "CORONA MARTINEZ",
        "authorized_official_first_name": "HIRAM",
        "authorized_official_middle_name": "JAIR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "210-390-1795"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "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 May 21, 2021; 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.