Organization Active NPI

Rio Grande Surgical Services, LLC

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
National Provider Identifier
1073983573
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
RIO GRANDE SURGICAL SERVICES, LLC
Practice address
5150 Broadway St
San Antonio, TX 78209-5710
Phone
(520) 323-8732
Fax
(520) 258-0304
NPI assigned
Sep 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Authorized official

Name
Lacey Dinh
Title
Revenue Cycle Manager of Abs
Phone
(520) 258-0326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

5150 Broadway St
San Antonio, TX 78209-5710

Mailing address

PO Box 96024
Las Vegas, NV 89195-6024
Phone (520) 323-8732

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1073983573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96024",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891956024",
            "telephone_number": "520-323-8732",
            "fax_number": "520-258-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 BROADWAY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095710",
            "telephone_number": "520-323-8732",
            "fax_number": "520-258-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE SURGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER OF ABS",
        "authorized_official_telephone_number": "520-258-0326"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "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 Dec 22, 2015; 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.