Carmen Mascarenhas, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G4645 Issued in TX

Practice address

6711 S New Braunfels Ave Ste 500
San Antonio, TX 78223-3004

Phone

(210) 531-5309

Fax

(210) 531-3795

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Professional Imaging, PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Humble, TX
  • NPI 1902835895
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346351814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24519 ARROW TREE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583273",
            "telephone_number": "210-481-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 S NEW BRAUNFELS AVE STE 500",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233004",
            "telephone_number": "210-531-5309",
            "fax_number": "210-531-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCARENHAS",
        "first_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G4645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Z Ponce
• Marzec Eye Care Inc
• Anna Marzec, OD
• Aleli Casino Masajo, MD
• Leila Mariano Masalihit
• Neil Mascarenhas
• Andrew Domenic Masciarella, MD, MBA
• Justin Robert Mascitelli, M.D.
• Emmanuel Mascorro-Pinto, PHD
• Diego Jose Maselli Caceres, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.