Skin Institute

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

K6988 Issued in TX

Legal business name

SKIN INSTITUTE

Practice address

1901 Babcock Rd Ste 200
San Antonio, TX 78229-4545

Phone

(210) 802-7022

Fax

(210) 579-8537

NPI assigned

Feb 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Robert Nelson Bertoldo, D.O.

Title

President/Ceo

Phone

(210) 315-1506

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1326387291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 701570",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782701570",
            "telephone_number": "210-315-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 BABCOCK RD STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294545",
            "telephone_number": "210-802-7022",
            "fax_number": "210-579-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "BERTOLDO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "210-315-1506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "TX",
            "license": "K6988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skin and Wigs, Etc.
• Skin Bliss Med Spa
• Skin Bliss the Laser Spa Clinic & Aesthetics Institute
• Skin by Design Dermatology & Laser Center PA
• Skin Cancer Dermatology, PLLC
• Skin Surgery of San Antonio, PA
• Tynisha L Skinnell, LPC-A
• Skinner Clinic, PA
• Arianna Skinner-Beck, LMFT
• Barton Skinner, NP

• Aerospace Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Aerospace Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.