Provider Demographics
NPI:1891812335
Name:BELMUNDO
Entity Type:Organization
Organization Name:BELMUNDO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:BIANCA
Authorized Official - Middle Name:E
Authorized Official - Last Name:VALLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-479-6542
Mailing Address - Street 1:4907 NW LOOP 410
Mailing Address - Street 2:STE. 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5386
Mailing Address - Country:US
Mailing Address - Phone:210-479-6542
Mailing Address - Fax:210-521-9573
Practice Address - Street 1:4907 NW LOOP 410
Practice Address - Street 2:STE. 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5386
Practice Address - Country:US
Practice Address - Phone:210-479-6542
Practice Address - Fax:210-521-9573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier