Organization Active NPI

River City Medical Clinic PA

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1033355151
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RIVER CITY MEDICAL CLINIC PA
Practice address
515 Camden St
San Antonio, TX 78215-1925
Phone
(210) 599-8300
Fax
(210) 599-8853
NPI assigned
Dec 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Celeste Juarez
Title
Billing Manager
Phone
(210) 599-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

515 Camden St
San Antonio, TX 78215-1925

Mailing address

515 Camden St
San Antonio, TX 78215-1925
Phone (210) 599-8300

National Provider Directory

National Provider Directory

Locations

515 Camden St
San Antonio, TX 78215
Phone (210) 224-9918

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1033355151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CAMDEN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151925",
            "telephone_number": "210-599-8300",
            "fax_number": "210-599-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CAMDEN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151925",
            "telephone_number": "210-599-8300",
            "fax_number": "210-599-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "JUAREZ",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "210-599-8300"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 21, 2018; 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.