El Centro del Barrio, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

EL CENTRO DEL BARRIO, INC

Doing business as

CentroMed SA Pediatrics

Practice address

315 N San Saba Ste 1075
San Antonio, TX 78207-3155

Phone

(210) 223-3543

Fax

(210) 924-1374

NPI assigned

Aug 8, 2019

Last updated

Jun 1, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Lawrence C Walzel, CPA, MBA

Title

VP/Cfo

Phone

(210) 334-3724

Specialties & licenses 1

Addresses

Other names 1

• CentroMed SA Pediatrics Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1013562842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 COMMERCIAL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782213117",
            "telephone_number": "210-922-7000",
            "fax_number": "210-924-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N SAN SABA STE 1075",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073155",
            "telephone_number": "210-223-3543",
            "fax_number": "210-924-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CENTRO DEL BARRIO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "WALZEL",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "210-334-3724",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA, MBA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CentroMed SA Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• El Centro del Barrio (University Health System-Eastside Clinic)
• El Centro del Barrio (University Health System-Ricardo Salinas Clinic)
• El Centro del Barrio Inc (CentroMed Southside Medical Clinic)
• El Centro del Barrio Inc (CentroMed Pharmacy)
• El Centro del Barrio Inc (CentroMed South Park Dental)
• El Centro del Barrio, Inc (CentroMed)
• El Centro del Barrio, Inc (CentroMed SA Pediatrics)
• El Centro del Barrio, Inc
• El Centro del Barrio, Inc (CentroMed-Elder House)
• El Centro del Barrio, Inc (Centromed Medina Base Clinic)

• Federally Qualified Health Center (FQHC) in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.