Superior Prosthetics & Orthotics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

428 Issued in TX

Legal business name

SUPERIOR PROSTHETICS & ORTHOTICS LLC

Practice address

7400 Louis Pasteur Dr
Ste 202
San Antonio, TX 78229-4514

Phone

(210) 593-0953

Fax

(210) 593-0954

NPI assigned

Nov 15, 2013

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.

Title

Licensed Prosthetist

Phone

(210) 593-0953

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1407286297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 LOUIS PASTEUR DR",
            "address_2": "STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294514",
            "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 DR",
            "address_2": "STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294514",
            "telephone_number": "210-593-0953",
            "fax_number": "210-593-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PROSTHETICS & ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "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."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior Hospice VI, LLC
• Superior Hospice VII LLC
• Superior Hospice VIII LLC
• Superior Neuromonitoring, PLLC
• Superior Prosthetics & Orthotics LLC (Bacilio V. Moreno)
• Superior Rehab Tech., Inc.
• Superior Shuttle LLC
• Superior Sleep Care LLC
• Supported Services LLC
• Supportive Psychological Associates, PLLC (Spa, PLLC)

• 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 Nov 15, 2013; 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.