Active NPI
Raul M Montemayor, M.D.
- Internal Medicine Physician
- San Antonio, TX
National Provider Identifier
1013998178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- F8582
- Practice address
- 2829 Babcock Rd
Suite 110
San Antonio, TX 78229-6028 - Phone
- (210) 614-5855
- Fax
- (210) 614-6240
- NPI assigned
- Nov 7, 2005
- Last updated
- Dec 7, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | F8582 | TX | Primary |
Addresses
Primary practice location
2829 Babcock Rd
Suite 110
San Antonio, TX 78229-6028
Mailing address
2829 Babcock Rd
Suite 110
San Antonio, TX 78229-6028
Phone (210) 614-5855
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83Z501 | Other | TX | TX BC/BS |
| 742778964 | Other | TX | TX IDN |
| 117263701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F8582 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1013998178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2829 BABCOCK RD",
"address_2": "SUITE 110",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782296028",
"telephone_number": "210-614-5855",
"fax_number": "210-614-6240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2829 BABCOCK RD",
"address_2": "SUITE 110",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782296028",
"telephone_number": "210-614-5855",
"fax_number": "210-614-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTEMAYOR",
"first_name": "RAUL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "F8582",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX BC/BS",
"identifier": "83Z501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX IDN",
"identifier": "742778964",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117263701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.