Organization Active NPI

Manica Isiguzo, MD PA

  • Pulmonary Disease Physician
  • Boerne, TX
National Provider Identifier
1245885342
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
MANICA ISIGUZO, MD PA
Practice address
34910 Interstate 10 W Ste 601
Boerne, TX 78006-9230
Phone
(830) 248-1207
Fax
(830) 331-1110
NPI assigned
Aug 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Authorized official

Name
Dr. Manica Isiguzo, MD
Title
MD/Owner
Phone
(830) 248-1207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

34910 Interstate 10 W Ste 601
Boerne, TX 78006-9230

Mailing address

PO Box 1936
San Antonio, TX 78297-1936
Phone (830) 248-1207

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1245885342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1936",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782971936",
            "telephone_number": "830-248-1207",
            "fax_number": "830-331-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34910 INTERSTATE 10 W STE 601",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069230",
            "telephone_number": "830-248-1207",
            "fax_number": "830-331-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANICA ISIGUZO, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "ISIGUZO",
        "authorized_official_first_name": "MANICA",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "830-248-1207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.