MEDICARE: DEL RIO FOOT CLINIC P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	213E00000X	Podiatrist
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	261QM1300X	Multi-Specialty Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CK5717	OTHER		MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0043CG	OTHER		BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003901489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEL RIO FOOT CLINIC P.A.

Provider Business Mailing Address
First Line	:	94 BRIGGS ST STE 600
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78224-1272
Country	:	US
Telephone Number	:	210-872-3668
Fax Number	:	210-428-6317

Provider Business Practice Location Address
First Line	:	94 BRIGGS ST STE 600
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78224-1272
Country	:	US
Telephone Number	:	210-872-3668
Fax Number	:	210-428-6317

Authorized Official
Title or Position	:	VICE-PRESIDENT
Name	:	DR. ANNA E SANCHEZ
Credential	:	DPM
Telephone Number	:	210-872-3668

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	06/14/2022

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Directions to “DEL RIO FOOT CLINIC P.A. ” Practice Location

Language	Start Address	Practice Location

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