Organization
SHINGALUZ INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE CUENTAS RN, CPED (ADMINISTRATOR)
(210) 949-0900
Entity
Organization
Contact information
Practice address
511 JACKSON KELLER RD, SAN ANTONIO, TX 78216-7120
(210) 949-0600
(210) 764-5471
Mailing address
511 JACKSON KELLER RD, SAN ANTONIO, TX 78216-7120
(210) 949-0600
(210) 764-5471
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
58074
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
101574
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154577401
—
TX
Enumeration date
05/23/2005
Last updated
02/22/2018
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