Individual provider Active NPI

Cynthia Ann Garcia-Tamez

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1073058129
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131939 Issued in TX
Practice address
19178 Blanco Rd Ste 106
San Antonio, TX 78258-3654
Phone
(210) 402-6080
Fax
(210) 402-6081
NPI assigned
Dec 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131939 TX Primary

Addresses

Primary practice location

19178 Blanco Rd Ste 106
San Antonio, TX 78258-3654

Mailing address

600 W Hillsboro Blvd Ste 110
Deerfield Beach, FL 33441-1610
Phone (954) 246-1531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190718002309 TX Order and Referring Only - Nurse Practitioner 9739414301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP131939TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1073058129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W HILLSBORO BLVD STE 110",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411610",
            "telephone_number": "954-246-1531",
            "fax_number": "954-843-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19178 BLANCO RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583654",
            "telephone_number": "210-402-6080",
            "fax_number": "210-402-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-TAMEZ",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.