Provider Demographics
NPI:1538352794
Name:AMERICA'S MEDICAL TEAM, INC.
Entity type:Organization
Organization Name:AMERICA'S MEDICAL TEAM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUINAGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-431-3643
Mailing Address - Street 1:123 HOLMAN DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-2827
Mailing Address - Country:US
Mailing Address - Phone:210-431-3643
Mailing Address - Fax:210-431-0028
Practice Address - Street 1:123 HOLMAN DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-2827
Practice Address - Country:US
Practice Address - Phone:210-431-3643
Practice Address - Fax:210-431-0028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008558251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679427Medicare Oscar/Certification