San Antonio Prosthetics, Corporation

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

LOP 101 Issued in TX

Legal business name

SAN ANTONIO PROSTHETICS, CORPORATION

Practice address

2147 El Indio Hwy
Eagle Pass, TX 78852-5455

Phone

(830) 757-5183

Fax

(830) 773-3298

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lorenzo Lechuga Gonzalez, CPO BOC LPO

Title

Orthotist Prosthetist Owner Pres

Phone

(210) 616-0761

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1467465690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11933 NETWORK BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493399",
            "telephone_number": "210-616-0761",
            "fax_number": "210-616-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 EL INDIO HWY",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525455",
            "telephone_number": "830-757-5183",
            "fax_number": "830-773-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO PROSTHETICS, CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_middle_name": "LECHUGA",
        "authorized_official_title_or_position": "ORTHOTIST PROSTHETIST OWNER PRES",
        "authorized_official_telephone_number": "210-616-0761",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO BOC LPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "LOP 101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212771401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryll Runyon, CHWC
• Ariana Saldana
• Claudia Daniela Salinas, AGNP-C
• Ida Joanne Salinas, RN
• San Antonio Extended Medical Care, Inc.
• Andrew Raphael Sandoval, DC
• Cruz Victor Sandoval, RMT
• Edward Michael Sandoval, LMT
• Erika Sandoval, LPC
• Fe Sandoval, NURSE PRACTITIONER

• Prosthetic/Orthotic Supplier in Eagle Pass, TX
• Providers in Eagle Pass, 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 Oct 13, 2010; 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.