Organization Active NPI

Medical Center Pediatrics

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1184791840
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E8874 Issued in TX
Legal business name
MEDICAL CENTER PEDIATRICS
Practice address
2020 Babcock Rd
19
San Antonio, TX 78229-4440
Phone
(210) 614-5000
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Dr. Raymond Ruenes, M.D.
Title
Physician
Phone
(210) 614-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X E8874 TX Primary

Addresses

Primary practice location

2020 Babcock Rd
19
San Antonio, TX 78229-4440

Mailing address

2020 Babcock Rd
19
San Antonio, TX 78229-4440
Phone (210) 614-5000

National Provider Directory

National Provider Directory
Tax ID family
Medical Center Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8221 Fredericksburg Rd
San Antonio, TX 78229

Practitioners & affiliated clinicians

Practitioners 1

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1184791840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 BABCOCK RD",
            "address_2": "19",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294440",
            "telephone_number": "210-614-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 BABCOCK RD",
            "address_2": "19",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294440",
            "telephone_number": "210-614-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "RUENES",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "210-614-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E8874",
            "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 Sep 27, 2011; 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.