Rodolfo V. Granados, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

F9494 Issued in TX

Practice address

2106 Elm Vis
San Antonio, TX 78230-2772

Phone

(210) 614-3371

Fax

(210) 614-1055

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1275638447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8887",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754048887",
            "telephone_number": "210-621-0640",
            "fax_number": "210-621-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 ELM VIS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302772",
            "telephone_number": "210-614-3371",
            "fax_number": "210-614-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANADOS",
        "first_name": "RODOLFO",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "F9494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050004558",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126279203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDOL",
            "identifier": "103525500",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anastacia Granado
• Cynthia Anne Granados, LPC, LMFT
• Gabriella M Granados, M.S., CCC-SLP
• Kathryn Margaret Granados, PMHNP-BC
• Lillianna Granados
• Susana Granados
• Michael P. Granato, M.D.
• Nicole Granato, DDS
• Mark C. Granberry, PHARM.D.
• Ramona Granda-Rodriguez, MD

• Anesthesiology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.