Organization Active NPI

Ikiru, PLLC

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1194155457
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IKIRU, PLLC
Practice address
5460 Babcock Rd Ste 120
San Antonio, TX 78240-3905
Phone
(210) 587-7965
Fax
(210) 587-7968
NPI assigned
Nov 22, 2013
Last updated
Sep 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Authorized official

Name
Hector J Guerra Garofalo, MD
Title
Managing Member
Phone
(210) 587-7965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

5460 Babcock Rd Ste 120
San Antonio, TX 78240-3905

Mailing address

5460 Babcock Rd Ste 120
San Antonio, TX 78240-3905
Phone (210) 587-7965

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1194155457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 BABCOCK RD STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403905",
            "telephone_number": "210-587-7965",
            "fax_number": "210-587-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 BABCOCK RD STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403905",
            "telephone_number": "210-587-7965",
            "fax_number": "210-587-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKIRU, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "GUERRA GAROFALO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "210-587-7965",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "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 Sep 14, 2018; 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.