Organization Active NPI

San Antonio Cosmetic Surgery, PA

  • Plastic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1194916890
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
SAN ANTONIO COSMETIC SURGERY, PA
Practice address
11212 State Highway 151
Suite 260
San Antonio, TX 78251-4499
Phone
(210) 614-4320
Fax
(210) 614-4302
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Dr. Delio P. Ortegon III, MD
Title
President
Phone
(210) 614-4320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

11212 State Highway 151
Suite 260
San Antonio, TX 78251-4499

Mailing address

11212 State Highway 151
Suite 260
San Antonio, TX 78251-4499
Phone (210) 614-4320

National Provider Directory

National Provider Directory

Locations

11130 Christus Hls
Ste 108
San Antonio, TX 78251

10515 State Highway 151
Ste 260
San Antonio, TX 78251
Phone (210) 614-4320

4910 Golden Quail
Ste 140
San Antonio, TX 78240
Phone (210) 421-7336

11130 Christus Hls
#108
San Antonio, TX 78251
Phone (210) 614-4320

4083 De Zavala Rd
#8
Shavano Park, TX 78249
Phone (210) 920-2390

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1194916890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151",
            "address_2": "SUITE 260",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514499",
            "telephone_number": "210-614-4320",
            "fax_number": "210-614-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151",
            "address_2": "SUITE 260",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514499",
            "telephone_number": "210-614-4320",
            "fax_number": "210-614-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO COSMETIC SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "ORTEGON",
        "authorized_official_first_name": "DELIO",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-614-4320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "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 Oct 16, 2008; 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.