Organization Active NPI

Luis Gaston Prieto, M.D., P.a.

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
National Provider Identifier
1356598338
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J0209 Issued in TX
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

Updated by the provider on Sep 26, 2008

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20080820000494 TX Part B Supplier - Clinic/Group Practice 4385719616 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.