Provider Demographics
NPI:1538454822
Name:PAZMINO ENTERPRISES INC.
Entity type:Organization
Organization Name:PAZMINO ENTERPRISES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAZMINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-542-4972
Mailing Address - Street 1:4330 SILVER LAKE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78219
Mailing Address - Country:US
Mailing Address - Phone:210-542-4972
Mailing Address - Fax:210-622-0520
Practice Address - Street 1:4330 SILVER LAKE DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78219
Practice Address - Country:US
Practice Address - Phone:210-542-4972
Practice Address - Fax:210-599-0704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-14
Last Update Date:2022-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicare PIN