Medi-Tronics

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0039917 Issued in TX

Legal business name

MEDI-TRONICS

Practice address

1717 Capitol Ave
San Antonio, TX 78201-4643

Phone

(210) 785-8112

Fax

(210) 785-8113

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jimmy Cardenas

Title

President

Phone

(210) 785-8112

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Medi- Tronics Other name

Tax ID family

Medi- Tronics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Texas Scooter Shop

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
  • NPI 1043649676
  NPD tax ID

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1851501969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 CAPITOL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782014643",
            "telephone_number": "210-785-8112",
            "fax_number": "210-785-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 CAPITOL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782014643",
            "telephone_number": "210-785-8112",
            "fax_number": "210-785-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-TRONICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-785-8112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0039917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTAGE BY SUPERIOR",
            "identifier": "014599",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF TX",
            "identifier": "533568",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE",
            "identifier": "QMP000003944245",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016799101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR STAR PLUS",
            "identifier": "1414840001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi- Tronics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Medical Center Ophthalmology Associates
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• Durable Medical Equipment & Medical Supplies in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.