Organization Active NPI

Prosthetic Innovations Inc

  • Prosthetic/Orthotic Supplier
  • San Antonio, TX
National Provider Identifier
1417430257
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PROSTHETIC INNOVATIONS INC
Practice address
5309 Wurzbach Rd Ste 101
San Antonio, TX 78238-2431
Phone
(210) 290-9225
NPI assigned
Sep 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Mr. Everardo Cervantes
Title
President
Phone
(956) 763-3661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

5309 Wurzbach Rd Ste 101
San Antonio, TX 78238-2431

Mailing address

5309 Wurzbach Rd Ste 101
San Antonio, TX 78238-2431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190109001558 TX DME Supplier - Prosthetic Personnel 0749526960 Practice locations: Leon Valley, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Prosthetic Innovations Inc.5309 Wurzbach Rd, Leon Valley, TX 78238-2431(210) 290-9225 Limb Prostheses Accepts assignmentParticipating since Sep 10, 2018

National Provider Directory

National Provider Directory

Locations

5309 Wurzbach Rd
Ste 101
San Antonio, TX 78238
Phone (210) 759-9757

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1417430257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 WURZBACH RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782382431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 WURZBACH RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782382431",
            "telephone_number": "210-290-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC INNOVATIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-07",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "EVERARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-763-3661",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "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 Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.