Individual provider Active NPI

Roberto Guadalupe Guerrero, LIC.AC. DIPL.O.M.

  • Acupuncturist
  • San Antonio, TX
National Provider Identifier
1053440388
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00954 Issued in TX
Practice address
14603 Huebner Rd Ste 2602
San Antonio, TX 78230-5495
Phone
(210) 888-1436
Fax
(210) 783-9343
NPI assigned
Mar 4, 2007
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00954 TX Primary

Addresses

Primary practice location

14603 Huebner Rd Ste 2602
San Antonio, TX 78230-5495

Mailing address

215 Sweet
San Antonio, TX 78204-1532
Phone (210) 888-1436

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC00954TXMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Swan Wellness Center LLC Acupuncturist CurrentSince Oct 1, 2022 Accepting new patients

Locations

103 N Park Blvd
San Antonio, TX 78204
Phone (210) 663-4643

14603 Huebner Rd
Ste 2602
San Antonio, TX 78230
Phone (210) 226-1112

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1053440388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SWEET",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782041532",
            "telephone_number": "210-888-1436",
            "fax_number": "210-783-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14603 HUEBNER RD STE 2602",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305495",
            "telephone_number": "210-888-1436",
            "fax_number": "210-783-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "ROBERTO",
        "middle_name": "GUADALUPE",
        "name_prefix": "Mr.",
        "credential": "LIC.AC. DIPL.O.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-04",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00954",
            "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 Mar 30, 2026; 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.