Individual provider Active NPI

Heather Guadalupe Aguirre, D.O.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1346687787
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
Q2720 Issued in TX
Practice address
18626 Hardy Oak Blvd #210
San Antonio, TX 78258-5387
Phone
(210) 392-9087
NPI assigned
May 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q2720 TX
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X Q2720 TX Primary

Addresses

Primary practice location

18626 Hardy Oak Blvd #210
San Antonio, TX 78258-5387

Mailing address

603 E Amber St Ste 101
San Antonio, TX 78221-2456
Phone (956) 518-9414

Other identifiers 1

IdentifierTypeStateIssuer
473006YLPSOtherTXWMG PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160212000449 TX Practitioner - Family PracticePractitioner - General PracticePractitioner - Internal Medicine 0749406544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Wound Healing Associates, PLLCGroup PAC ID 3173912128, 3 clinicians

Practice addresses (Care Compare)

540 Madison Oak Dr
Suite 130
San Antonio, TX 78258-3919
Phone (210) 236-1886

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue41
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Peripheral Vascular Associates, P.a. CurrentSince Oct 6, 2021 Accepting new patients
Precise Vascular Sonography LLC Past Accepting new patients
Premier Provider Health PA PastSince Jan 1, 2021 Accepting new patients
Premier Provider Health PA Past Accepting new patients

Locations

18626 Hardy Oak Blvd
Ste 210
San Antonio, TX 78258
Phone (956) 518-9414

Organizations & group practices 5

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": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1346687787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E AMBER ST STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782212456",
            "telephone_number": "956-518-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18626 HARDY OAK BLVD #210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782585387",
            "telephone_number": "210-392-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE",
        "first_name": "HEATHER",
        "middle_name": "GUADALUPE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q2720",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "Q2720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WMG PTAN",
            "identifier": "473006YLPS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.