Organization Active NPI

LRV Surgical LLC

  • Surgical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1275269730
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
LRV SURGICAL LLC
Practice address
1215 West Ave
San Antonio, TX 78201-4002
Phone
(210) 488-5648
NPI assigned
Jul 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Liz Perla Ramriez-Valecia, CSFA
Title
Lsa
Phone
(210) 488-5648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

1215 West Ave
San Antonio, TX 78201-4002

Mailing address

PO Box 700326
San Antonio, TX 78270-0326
Phone (210) 488-5648

National Provider Directory

National Provider Directory

Locations

1215 West Ave
San Antonio, TX 78201
Phone (210) 488-5648

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1275269730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700326",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782700326",
            "telephone_number": "210-488-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782014002",
            "telephone_number": "210-488-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LRV SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "RAMRIEZ-VALECIA",
        "authorized_official_first_name": "LIZ",
        "authorized_official_middle_name": "PERLA",
        "authorized_official_title_or_position": "LSA",
        "authorized_official_telephone_number": "210-488-5648",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "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 Apr 21, 2025; 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.