Individual provider Active NPI

Nicolas Noel Guerra, M.D.

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1285864066
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N3060 Issued in TX
Practice address
19238 Stonehue
San Antonio, TX 78258-3447
Phone
(210) 494-2223
Fax
(210) 494-6516
NPI assigned
Jul 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N3060 TX Primary

Addresses

Primary practice location

19238 Stonehue
San Antonio, TX 78258-3447

Mailing address

19238 Stonehue
San Antonio, TX 78258-3447
Phone (210) 494-2223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N3060TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
1816 Pediatrics, PLLC Pediatrics PastSince Apr 28, 2024 Accepting new patients
Abcd Pediatrics Pediatrics Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1285864066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19238 STONEHUE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583447",
            "telephone_number": "210-494-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19238 STONEHUE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583447",
            "telephone_number": "210-494-2223",
            "fax_number": "210-494-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "NICOLAS",
        "middle_name": "NOEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N3060",
            "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 Jul 16, 2010; 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.