Active NPI
Laura A Suarez, MD
- Rheumatology Physician
- San Antonio, TX
National Provider Identifier
1366430365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- H2819
- Practice address
- 14701 San Pedro Ave
Suite 240
San Antonio, TX 78232-4305 - Phone
- (210) 490-1111
- Fax
- (210) 490-3833
- NPI assigned
- Oct 12, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | H2819 | TX | Primary |
Addresses
Primary practice location
14701 San Pedro Ave
Suite 240
San Antonio, TX 78232-4305
Mailing address
14701 San Pedro Ave
Suite 240
San Antonio, TX 78232-4305
Phone (210) 490-1111
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5397113 | Other | AETNA | |
| 00347R | Other | BCBS | |
| 1235128240 | Other | TX | GROUP NPI |
| A002 | Other | CHAMPUS | |
| 1384695-13 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H2819 | TX | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stone Oak Rheumatology PA | Rheumatology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rheumatology Physician
- San Antonio, TX
- NPI 1235128240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280361600000",
"number": "1366430365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14701 SAN PEDRO AVE",
"address_2": "SUITE 240",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782324305",
"telephone_number": "210-490-1111",
"fax_number": "210-490-3833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14701 SAN PEDRO AVE",
"address_2": "SUITE 240",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782324305",
"telephone_number": "210-490-1111",
"fax_number": "210-490-3833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ",
"first_name": "LAURA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-12",
"last_updated": "2010-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "TX",
"license": "H2819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5397113",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00347R",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1235128240",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "A002",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1384695-13",
"state": "TX"
}
],
"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 Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.