Organization Active NPI

Jose R. Rebolledo,M.D.,P.a.

  • Pediatric Cardiology Physician
  • San Antonio, TX
National Provider Identifier
1205151107
Registry record updated Apr 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
D3749 Issued in TX
Legal business name
JOSE R. REBOLLEDO,M.D.,P.A.
Practice address
343 W Houston St
Suite 811
San Antonio, TX 78205-2107
Phone
(210) 222-2175
Fax
(210) 222-9374
NPI assigned
Apr 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2010

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

Authorized official

Name
Jose Rebolledo, MD
Title
President
Phone
(210) 222-2175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0202X D3749 TX Primary

Addresses

Primary practice location

343 W Houston St
Suite 811
San Antonio, TX 78205-2107

Mailing address

343 W Houston St
Suite811
San Antonio, TX 78205-2107
Phone (210) 222-2175

National Provider Directory

National Provider Directory

Locations

343 W Houston St
Ste 811
San Antonio, TX 78205
Phone (210) 222-2175

NPI Registry JSON

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270166400000",
    "number": "1205151107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON ST",
            "address_2": "SUITE811",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052107",
            "telephone_number": "210-222-2175",
            "fax_number": "210-222-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON ST",
            "address_2": "SUITE 811",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052107",
            "telephone_number": "210-222-2175",
            "fax_number": "210-222-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE R. REBOLLEDO,M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-02",
        "last_updated": "2010-04-02",
        "status": "A",
        "authorized_official_last_name": "REBOLLEDO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-222-2175",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "D3749",
            "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 Apr 2, 2010; 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.