NPI 1023528015

Prosthetic Technology Center, INC

Organisation Prosthetist San Antonio, TX

Practice location

Address: 7254 Blanco Rd STE 200, San Antonio, TX 78216-4930
Phone: (210) 600-9884
Fax: (210) 600-9883
Mailing address: 9069 W 33rd Ave, Hialeah, FL 33018-1883

Authorised official

Name: John Liber Mosquera Castro
Title: Prosthetist/President
Phone: (562) 373-8667

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 1774 (TX)

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Registry record

NPI: 1023528015
Entity type: Organization
NPI issued: 4 Oct 2017
Record last updated: 4 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.