Organization Active NPI

Uc4Life Wellness Center

  • Nutrition Chiropractor
  • San Antonio, TX
National Provider Identifier
1457690638
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
11313 Issued in TX
Legal business name
UC4LIFE WELLNESS CENTER
Practice address
3707 N Saint Marys St
Ste. 100
San Antonio, TX 78212-3168
Phone
(210) 468-1891
Fax
(210) 591-7827
NPI assigned
Feb 7, 2013
Last updated
Feb 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Authorized official

Name
Dr. Jacob Liserio Torres, DCNPI 1689905390
Title
Owner
Phone
(210) 468-1891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 11313 TX Primary

Addresses

Primary practice location

3707 N Saint Marys St
Ste. 100
San Antonio, TX 78212-3168

Mailing address

3707 N Saint Marys St
Ste. 100
San Antonio, TX 78212-3168
Phone (210) 468-1891

National Provider Directory

National Provider Directory

Locations

3707 N Saint Marys St
Ste 100
San Antonio, TX 78212
Phone (210) 468-1891

Practitioners & affiliated clinicians

Practitioners 1

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": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1457690638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 N SAINT MARYS ST",
            "address_2": "STE. 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123168",
            "telephone_number": "210-468-1891",
            "fax_number": "210-591-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 N SAINT MARYS ST",
            "address_2": "STE. 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123168",
            "telephone_number": "210-468-1891",
            "fax_number": "210-591-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC4LIFE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "LISERIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-468-1891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TX",
            "license": "11313",
            "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 7, 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.