MEDICARE: CONTINUA HEALTH CARE INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	207YP0228X	Pediatric Otolaryngology Physician
2	207YS0123X	Facial Plastic Surgery Physician
3	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	TX
4	261QA3000X	Augmentative Communication Clinic/Center
5	261QE0800X	Endoscopy Clinic/Center
6	261QH0700X	Hearing and Speech Clinic/Center
7	283X00000X	Rehabilitation Hospital
8	207Y00000X	Otolaryngology Physician

General Provider Information

NPI Number	:	1548554645
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONTINUA HEALTH CARE INC.

Provider Business Mailing Address
First Line	:	926 BROOKLYN AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78215-1637
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	926 BROOKLYN AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78215-1637
Country	:	US
Telephone Number	:	210-224-5481
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. MICHAEL BERTINO
Credential	:	M.D.
Telephone Number	:	210-224-5481

Provider Enumeration Date	:	06/06/2011
Last Update Date	:	06/07/2011

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Directions to “CONTINUA HEALTH CARE INC. ” Practice Location

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