Active NPI
Maria Magdalena Tiamson-Beato, MD
- Pediatrics Physician
- San Antonio, TX
National Provider Identifier
1093731606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- F1274
- Practice address
- 14811 San Pedro Ave
San Antonio, TX 78232-3708 - Phone
- (210) 223-7000
- Fax
- (210) 434-1704
- NPI assigned
- Jul 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | F1274 | TX | Primary |
Addresses
Primary practice location
14811 San Pedro Ave
San Antonio, TX 78232-3708
Mailing address
3066 E Commerce St
San Antonio, TX 78220-1013
Phone (210) 233-7062
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121475106 | Medicaid | TX | |
| 121475108 | Medicaid | TX |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1274 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1093731606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3066 E COMMERCE ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782201013",
"telephone_number": "210-233-7062",
"fax_number": "210-434-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14811 SAN PEDRO AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782323708",
"telephone_number": "210-223-7000",
"fax_number": "210-434-1704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIAMSON-BEATO",
"first_name": "MARIA",
"middle_name": "MAGDALENA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "F1274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121475106",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121475108",
"state": "TX"
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.