Active NPI
PM&R Associates of San Antonio PLLC
- Physical Medicine & Rehabilitation Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- P4538
- Legal business name
- PM&R ASSOCIATES OF SAN ANTONIO PLLC
- Practice address
- 17503 La Cantera Pkwy Ste 104-456
San Antonio, TX 78257-8207 - Phone
- (210) 571-7100
- NPI assigned
- Jul 31, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Dennis Cayanan Alfonso
- Title
- Manager
- Phone
- (210) 571-7100
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | P4538 | TX | Primary |
Addresses
Primary practice location
17503 La Cantera Pkwy Ste 104-456
San Antonio, TX 78257-8207
Mailing address
17503 La Cantera Pkwy Ste 104-456
San Antonio, TX 78257-8207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17503 La Cantera Pkwy
#104427
San Antonio, TX 78257
Phone (210) 621-8899
17503 La Cantera Pkwy
Ste 104456
San Antonio, TX 78257
Phone (210) 571-7100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- San Antonio, TX
- NPI 1558595660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570579200000",
"number": "1245754357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17503 LA CANTERA PKWY STE 104-456",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782578207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17503 LA CANTERA PKWY STE 104-456",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782578207",
"telephone_number": "210-571-7100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PM&R ASSOCIATES OF SAN ANTONIO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-31",
"last_updated": "2019-10-09",
"status": "A",
"authorized_official_last_name": "ALFONSO",
"authorized_official_first_name": "JOHN DENNIS",
"authorized_official_middle_name": "CAYANAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "210-571-7100"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "P4538",
"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 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.