Individual provider Active NPI

Luis Lucero, FNP-BC

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1043984008
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1044866 Issued in TX
Practice address
7719 S Ih 35 Ste 212
San Antonio, TX 78224-1134
Phone
(830) 320-4955
NPI assigned
Aug 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1044866 TX
Family Nurse Practitioner 363LF0000X 1044866 TX
Nurse Practitioner 363L00000X 1044866 TX Primary

Addresses

Primary practice location

7719 S Ih 35 Ste 212
San Antonio, TX 78224-1134

Mailing address

7719 S Ih 35 Ste 212
San Antonio, TX 78224-1134
Phone (830) 320-4955

Other practice location 1

225 E Sonterra Blvd Ste 200
San Antonio, TX 78258-3996
Phone (210) 403-2926

Other practice location 2

1933 NE Loop 410
San Antonio, TX 78217-5320
Phone (210) 804-6000

Other practice location 3

21 Spurs Ln Ste 330
San Antonio, TX 78240-1680
Phone (210) 614-6111

Other practice location 4

10010 Rogers Xing Ste 301
San Antonio, TX 78251-4776
Phone (830) 310-3201

Other practice location 5

3327 Research Plz Ste 310
San Antonio, TX 78235-5158
Phone (210) 585-4267

Other practice location 6

215 E Quincy St Ste 410
San Antonio, TX 78215-2034
Phone (830) 320-4955

Other practice location 7

1808 E State Highway 97 Ste B
Jourdanton, TX 78026-1536
Phone (830) 569-4003

Other practice location 8

502 Madison Oak Dr Ste 310
San Antonio, TX 78258-4298
Phone (210) 483-8883

Other practice location 9

215 E Quincy St Ste 427
San Antonio, TX 78215-2033
Phone (210) 223-7500

Other practice location 10

5430 Fredericksburg Rd Ste 400
San Antonio, TX 78229-3539
Phone (210) 538-2310

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1044866TXMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1043984008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7719 S IH 35 STE 212",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241134",
            "telephone_number": "830-320-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7719 S IH 35 STE 212",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241134",
            "telephone_number": "830-320-4955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 E Sonterra Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782583996",
            "country_code": "US",
            "telephone_number": "210-403-2926",
            "fax_number": "210-403-2184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1933 NE Loop 410",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782175320",
            "country_code": "US",
            "telephone_number": "210-804-6000",
            "fax_number": "210-804-6069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Spurs Ln Ste 330",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401680",
            "country_code": "US",
            "telephone_number": "210-614-6111",
            "fax_number": "210-615-2325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10010 Rogers Xing Ste 301",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514776",
            "country_code": "US",
            "telephone_number": "830-310-3201",
            "fax_number": "830-310-3202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3327 Research Plz Ste 310",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782355158",
            "country_code": "US",
            "telephone_number": "210-585-4267",
            "fax_number": "210-585-4269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 E Quincy St Ste 410",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782152034",
            "country_code": "US",
            "telephone_number": "830-320-4955",
            "fax_number": "830-321-0110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1808 E State Highway 97 Ste B",
            "address_purpose": "LOCATION",
            "city": "Jourdanton",
            "state": "TX",
            "postal_code": "780261536",
            "country_code": "US",
            "telephone_number": "830-569-4003",
            "fax_number": "830-569-4001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 Madison Oak Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584298",
            "country_code": "US",
            "telephone_number": "210-483-8883",
            "fax_number": "210-494-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 E Quincy St Ste 427",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782152033",
            "country_code": "US",
            "telephone_number": "210-223-7500",
            "fax_number": "210-223-9075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5430 Fredericksburg Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293539",
            "country_code": "US",
            "telephone_number": "210-538-2310",
            "fax_number": "210-301-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "LUIS",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1044866",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1044866",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1044866",
            "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 Sep 3, 2021; 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.