ENRIQUE SAUCEDO III (NPI# 1710284211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710284211 |
| Entity Type | Individual |
| Full Name | ENRIQUE SAUCEDO III |
| Credential | IDMT |
| Practice Address |
10515 Manor Crk San Antonio TX 78245-2750 |
| Practice Telephone | 2105926610 |
| Mailing Telephone | 2105926610 |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| Street Address |
10515 MANOR CRK |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78245-2750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912510082 | Ab Solutions LLC | Community/Behavioral Health | 9439 Dugas, San Antonio, TX 78245 | 2020-08-28 |
| 1871113522 | Sharnell Jayana Garza | Licensed Vocational Nurse | 10248 Harora Field, San Antonio, TX 78245 | 2020-04-23 |
| 1003444282 | Rose Bechebuh | Licensed Vocational Nurse | 10766 Gemsbcuk Lodge, San Antonio, TX 78245 | 2020-04-01 |
| 1538700729 | Sng - Westover Hills Dialysis Clinic | Clinic/Center | 9443 Dugas Dr, San Antonio, TX 78245 | 2019-09-30 |
| 1578023974 | Daniel Max & Marcandrea LLC | Optometrist | 8539 Tx 151, San Antonio, TX 78245 | 2019-03-21 |
| 1487112991 | San Antonio Family Dental Pllc | Dentist | 14249 Potranco Road, Ste 104, San Antonio, TX 78245 | 2019-03-05 |
| 1750851333 | Traci Rae L'ecuyer | Student in an Organized Health Care Education/Training Program | 2314 Hornsby Bend, San Antonio, TX 78245 | 2018-11-27 |
| 1992287783 | Leticia Flores | Occupational Therapy Assistant | 8707 Lakeside Parkway, San Antonio, TX 78245 | 2018-08-29 |
| 1649763517 | Four Winds Hospice, Inc | Hospice Care, Community Based | 12703 Coal Mine Rise, San Antonio, TX 78245 | 2018-06-14 |
| 1982106696 | Marbach Smiles Pllc | Dentist | 10910 Marbach Road, San Antonio, TX 78245 | 2018-03-08 |
| Find all providers in zip 78245 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453145 | Ian Frogley | Military Health Care Provider | Jbsa 2230 Hughes Ave, San Antonio, TX 78236-8404 | 2020-10-06 |
| 1861099939 | Andrew Goebel | Military Health Care Provider | 1800 Truemper St, San Antonio, TX 78236-5510 | 2020-10-02 |
| 1376169086 | Colton Wayne Dickens | Military Health Care Provider | 5415 N Foster Rd Apt 8306, San Antonio, TX 78244-2405 | 2020-06-18 |
| 1588135719 | Alejandro Daniel Perez | Military Health Care Provider | Wilderness Trl & Camp Bullis, San Antonio, TX 78257 | 2018-12-16 |
| 1861969271 | Jose A Sanchez | Military Health Care Provider | 15425 Bobwhite Quail, San Antonio, TX 78253-6621 | 2018-10-24 |
| 1205303617 | Sean Patrick Kearns | Military Health Care Provider | 1980 Horal St Apt 1218, San Antonio, TX 78227-3939 | 2018-10-24 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1083191159 | Chance Daren Riley | Military Health Care Provider | 8838 Dugas Dr Apt 2202, San Antonio, TX 78251-4518 | 2018-07-23 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78245 |
Please comment or provide details below to improve the information on ENRIQUE SAUCEDO III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.