Roland F Mena, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00125 Issued in TX

Practice address

1805 Castroville Rd
San Antonio, TX 78237-3659

Phone

(210) 433-6909

Fax

(210) 433-6907

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Moreno Medical Clinic West

  • Physician Assistant
  • San Antonio, TX
  • NPI 1770002107
  NPD Authorized official
• Eduardo Moreno, M.D., Rural Health Clinic, LLP

  • Rural Health Clinic/Center
  • Crystal City, TX
  • NPI 1376732099
  Medicare reassignment
• Gaona Family Medical Clinic, Inc

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1710918354
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1083645964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 CASTROVILLE RD, STE #4",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78207",
            "telephone_number": "210-994-6181",
            "fax_number": "210-973-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 CASTROVILLE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782373659",
            "telephone_number": "210-433-6909",
            "fax_number": "210-433-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENA",
        "first_name": "ROLAND",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafian Rehan Memon
• Memorial Urology Associates, PA
• Memory & Wellness Senior Center
• Cristobal Mena
• Gisel Beatriz Mena
• Sonia Mena
• Eric J Menard, ATC
• Robin Menasco
• Faye Hilda Mencey, OTR
• Ash-Lee Menchaca-Garcia

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.