Organization
PROSTHETIC TECHNOLOGY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LIBER MOSQUERA CASTRO CP/LP (PROSTHETIST/PRESIDENT)
(562) 373-8667
Entity
Organization
Contact information
Practice address
7254 BLANCO RD STE 200, SAN ANTONIO, TX 78216-4930
(210) 600-9884
(210) 600-9883
Mailing address
9069 W 33RD AVE, HIALEAH, FL 33018-1883
(562) 373-8667
(844) 828-8593
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
1774
TX
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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