Provider Demographics
NPI:1528152378
Name:CENTRO DE CONFIANZA
Entity type:Organization
Organization Name:CENTRO DE CONFIANZA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FACILITY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:BBA
Authorized Official - Phone:210-222-2121
Mailing Address - Street 1:1410 GUADALUPE ST
Mailing Address - Street 2:SUITE # 222
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-5515
Mailing Address - Country:US
Mailing Address - Phone:210-222-2121
Mailing Address - Fax:210-222-9959
Practice Address - Street 1:1410 GUADALUPE ST
Practice Address - Street 2:SUITE # 222
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-5515
Practice Address - Country:US
Practice Address - Phone:210-222-2121
Practice Address - Fax:210-222-9959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116322261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care