Organization Active NPI

Alamo Women'S Obstetrics & Gynecology, PLLC

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
National Provider Identifier
1114462702
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M6336 Issued in TX
Legal business name
ALAMO WOMEN'S OBSTETRICS & GYNECOLOGY, PLLC
Practice address
11212 State Highway 151 Suite 350
Plaza 2
San Antonio, TX 78251
Phone
(210) 281-5066
Fax
(210) 281-4459
NPI assigned
Jan 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Authorized official

Name
Rene Perez, M.D.NPI 1669687141
Title
President
Phone
(210) 281-5066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X M6336 TX Primary

Addresses

Primary practice location

11212 State Highway 151 Suite 350
Plaza 2
San Antonio, TX 78251

Mailing address

11212 State Highway 151 Suite 350
Plaza 2
San Antonio, TX 78251
Phone (210) 281-5066

Other identifiers 1

IdentifierTypeStateIssuer
381292701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170502001285 TX Part B Supplier - Clinic/Group Practice 0941587836 Receives reassigned benefits from 8 practitioners
Practice locations: San Antonio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2275163Alamo Women'S Obstetrics & Gyne11212 State Hwy 151, Ste 350 Medical Plaza 2, San Antonio, TX 78251Certificate of waiverJan 16, 2027

National Provider Directory

National Provider Directory

Locations

7930 Floyd Curl Dr
Ste 801
San Antonio, TX 78229

11345 Alamo Ranch Pkwy
Ste 101
San Antonio, TX 78253
Phone (210) 858-9835

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1114462702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151 SUITE 350",
            "address_2": "PLAZA 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-281-5066",
            "fax_number": "210-281-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151 SUITE 350",
            "address_2": "PLAZA 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-281-5066",
            "fax_number": "210-281-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMO WOMEN'S OBSTETRICS & GYNECOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-281-5066",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M6336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381292701",
            "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 Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.