Organization
SUPERIOR PROSTHETICS & ORTHOTICS LLC
Active
Organization
SUPERIOR PROSTHETICS & ORTHOTICS LLC
Active
Other names
Bacilio V. Moreno
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BACILIO V. MORENO SR. L.P. (LICENSED PROSTHETIST)
(210) 593-0953
Entity
Organization
Contact information
Practice address
7400 LOUIS PASTEUR, STE 202, SAN ANTONIO, TX 78229-4542
(210) 593-0953
(210) 593-0954
Mailing address
7400 LOUIS PASTEUR, STE 202, SAN ANTONIO, TX 78229-4542
(210) 593-0953
(210) 593-0954
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
428
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110058-01
—
TX
Enumeration date
04/26/2006
Last updated
12/09/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up