Active NPI
Proactive Ums, Inc
- Medical Specialty Clinic/Center
- San Antonio, TX
National Provider Identifier
1578477469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- PROACTIVE UMS, INC
- Practice address
- 8103 Bandera Rd Ste 102
San Antonio, TX 78250-5185 - Phone
- (210) 500-2914
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andy Raul Manzano Matos
- Title
- Chief Executive Officer
- Phone
- (832) 705-2204
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | NU | Primary |
Addresses
Primary practice location
8103 Bandera Rd Ste 102
San Antonio, TX 78250-5185
Mailing address
3712 Vista Chase CT
Arlington, TX 76001-6961
Phone (832) 705-2204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1578477469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3712 VISTA CHASE CT",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760016961",
"telephone_number": "832-705-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8103 BANDERA RD STE 102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782505185",
"telephone_number": "210-500-2914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROACTIVE UMS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "MANZANO MATOS",
"authorized_official_first_name": "ANDY",
"authorized_official_middle_name": "RAUL",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "832-705-2204"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
- Pro-Care Spine Center, LLC (Pro-Care Medical Center)
- Pro-Care Spine Center, PLLC (Pro-Care Medical Center)
- Pro-Care Spine Center, PLLC (Pro-Care Medical Center)
- Proactive ABA Services LLC
- Proactive MD TX Professional Corporation (Proactive MD Tindall San Antonio)
- Procare Direct Access PLLC
- Procare Internal Medicine Associates, PLLC
- Procare Pharmacy, LLC (CVS Pharmacy #02859)
- Procare Wellness, LLC
- Prodigious Hospices LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.