Active NPI
Luis Gaston Prieto, M.D., P.a.
- Obstetrics & Gynecology Physician
- San Antonio, TX
National Provider Identifier
1356598338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- J0209
- Legal business name
- LUIS GASTON PRIETO, M.D., P.A.
- Practice address
- 730 N Main Ave
Suite 219
San Antonio, TX 78205-1152 - Phone
- (210) 227-0195
- Fax
- (210) 227-0196
- NPI assigned
- Aug 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gaston Prieto, M.D.
- Title
- Physician, President
- Phone
- (210) 227-0195
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | J0209 | TX | Primary |
Addresses
Primary practice location
730 N Main Ave
Suite 219
San Antonio, TX 78205-1152
Mailing address
730 N Main Ave
Suite 219
San Antonio, TX 78205-1152
Phone (210) 227-0195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
730 N Main Ave
Ste 219
San Antonio, TX 78205
Phone (210) 227-0195
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- San Antonio, TX
- NPI 1154331007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222387200000",
"number": "1356598338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 N MAIN AVE",
"address_2": "SUITE 219",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782051152",
"telephone_number": "210-227-0195",
"fax_number": "210-227-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 N MAIN AVE",
"address_2": "SUITE 219",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782051152",
"telephone_number": "210-227-0195",
"fax_number": "210-227-0196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUIS GASTON PRIETO, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-21",
"last_updated": "2008-09-26",
"status": "A",
"authorized_official_last_name": "PRIETO",
"authorized_official_first_name": "GASTON",
"authorized_official_title_or_position": "PHYSICIAN, PRESIDENT",
"authorized_official_telephone_number": "210-227-0195",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "J0209",
"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 Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.