Center for Internal Medicine, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

L7397 Issued in TX

Legal business name

CENTER FOR INTERNAL MEDICINE, PA

Practice address

8265 Fredericksburg Rd
San Antonio, TX 78229-3357

Phone

(210) 200-8798

Fax

(877) 904-3712

NPI assigned

Oct 9, 2007

Last updated

Mar 10, 2014By 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

Juan Carlos Gonzalez, M.D.NPI 1659370963

Title

President

Phone

(210) 200-8798

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juan Carlos Gonzalez, MD

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1659370963
  Medicare reassignment Care Compare group NPD Authorized official
• Oscar Alberto Iznaola -Esquivel, M.D.

  • Nephrology Physician
  • San Antonio, TX
  • NPI 1699968560
  Medicare reassignment Care Compare group NPD
• Eduardo Torres

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1174119879
  Medicare reassignment Care Compare group NPD
• Browyn King, NP

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1497620173
  Medicare reassignment Care Compare group NPD (past)
• Carlos Andres Palacio, M.D.

  • Hospitalist Physician
  • Marble Falls, TX
  • NPI 1871785535
  Medicare reassignment NPD

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1023206513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291096",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782291696",
            "telephone_number": "210-200-8798",
            "fax_number": "877-904-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8265 FREDERICKSBURG RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293357",
            "telephone_number": "210-200-8798",
            "fax_number": "877-904-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INTERNAL MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-200-8798",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "L7397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mauricio Antonio Centeno, LSA
• Center for Ambulatory Surgery of America (CASA Surgery)
• Center for Changing, Becoming, Growing, PLLC
• Center for Dialectical and Cognitive Behavioral TH
• Center for Disease Detection LLC
• Center for Maternal-Fetal Care, P.a.
• Center for Minmally Invasive Cardiovascular & Thoracic Surgery PA
• Center for Prosthetics & Orthotics PLLC
• Center of Advanced Wellness, Inc. (Center of Advanced Wellness)
• Centered Counseling, PLLC

• Primary Care Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.