MEDICARE: CENTRO DE CONFIANZA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center	116322	TX

General Provider Information

NPI Number	:	1528152378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRO DE CONFIANZA

Provider Business Mailing Address
First Line	:	1410 GUADALUPE ST
Second Line	:	SUITE # 222
City	:	SAN ANTONIO
State	:	TX
Zip	:	78207-5515
Country	:	US
Telephone Number	:	210-222-2121
Fax Number	:	210-222-9959

Provider Business Practice Location Address
First Line	:	1410 GUADALUPE ST
Second Line	:	SUITE # 222
City	:	SAN ANTONIO
State	:	TX
Zip	:	78207-5515
Country	:	US
Telephone Number	:	210-222-2121
Fax Number	:	210-222-9959

Authorized Official
Title or Position	:	FACILITY DIRECTOR
Name	:	MR. MICHAEL BRIAN DELGADO
Credential	:	BBA
Telephone Number	:	210-222-2121

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	08/22/2020

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Directions to “CENTRO DE CONFIANZA ” Practice Location

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