Organization Active NPI

Diabetes & Endocrinology Consultants, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • San Antonio, TX
National Provider Identifier
1275658585
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
DIABETES & ENDOCRINOLOGY CONSULTANTS, INC.
Practice address
155 E Sonterra Blvd Ste 105
San Antonio, TX 78258-3988
Phone
(210) 314-8045
Fax
(210) 314-8073
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Dr. Jaime Oscar Cruz, M.D.
Title
Officer
Phone
(210) 314-8045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

155 E Sonterra Blvd Ste 105
San Antonio, TX 78258-3988

Mailing address

155 E Sonterra Blvd Ste 105
San Antonio, TX 78258-3988
Phone (210) 314-8045

Other identifiers 2

IdentifierTypeStateIssuer
141595201MedicaidTX
0051GHOtherTXBCBS BLUE LINK GROUP NO.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1275658585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E SONTERRA BLVD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583988",
            "telephone_number": "210-314-8045",
            "fax_number": "210-314-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E SONTERRA BLVD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583988",
            "telephone_number": "210-314-8045",
            "fax_number": "210-314-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES & ENDOCRINOLOGY CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "OSCAR",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "210-314-8045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141595201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE LINK GROUP NO.",
            "identifier": "0051GH",
            "state": "TX"
        }
    ],
    "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 16, 2013; 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.