Active NPI
Bonnie Ashley Cantu, ATC, LAT
- Athletic Trainer
- Del Rio, TX
National Provider Identifier
1679089312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT6742
- Practice address
- 720 E de la Rosa St
Del Rio, TX 78840-6734 - Phone
- (830) 778-4500
- NPI assigned
- Dec 18, 2017
- Last updated
- Dec 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT6742 | TX | Primary |
Addresses
Primary practice location
720 E de la Rosa St
Del Rio, TX 78840-6734
Mailing address
309 Mary Lou Dr Apt a
Del Rio, TX 78840-2763
Phone (361) 542-0604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT6742 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513555200000",
"number": "1679089312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 MARY LOU DR APT A",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788402763",
"telephone_number": "361-542-0604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 E DE LA ROSA ST",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788406734",
"telephone_number": "830-778-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTU",
"first_name": "BONNIE",
"middle_name": "ASHLEY",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-18",
"last_updated": "2017-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT6742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Del Rio, TX
- Antonio Cadena, MD
- Cole Edward Cadena, PHARMD
- Louis H Cadena, D.D.S.
- Veronica Cadena, MD
- Erica J Campos, RN
- Ruben Cardenas, R.PH.
- Yajaira S Cardenas, DNP, APRN,FNP-BC
- Cardiopulmonary Therapeutics and Diagnostics Inc (CPTD)
- Care Inn Properties, Inc. (Del Rio Nursing and Rehab)
- Carecetera Home Care, Inc. (Care etc.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.