Luis Buentello Jr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA18077 Issued in TX

Practice address

9819 Huebner Rd Ste 113
San Antonio, TX 78240-3253

Phone

(210) 692-0101

Fax

(210) 692-7615

NPI assigned

Jun 21, 2022

Sex

Male

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rio Grande Valley Adult & Internal Medicine Specialists PLLC

  • Internal Medicine Physician
  • Weslaco, TX
  • NPI 1528039120
  Medicare reassignment
• Mid Valley Adult Specialists PA

  • Internal Medicine Physician
  • Weslaco, TX
  • NPI 1104009513
  NPD

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1396476362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9819 HUEBNER RD STE 113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403253",
            "telephone_number": "210-692-0101",
            "fax_number": "210-692-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9819 HUEBNER RD STE 113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403253",
            "telephone_number": "210-692-0101",
            "fax_number": "210-692-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENTELLO",
        "first_name": "LUIS",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Franco Bueno
• Melissa Myra Bueno, LCSW
• Nicholas Bueno
• Vincent Bueno, DNP, AGACNP-BC
• Debra J Buenrostro, RN
• Sergio Buentello, M.D.
• Virginia Buentello
• Brittany A Buenteo, DPT
• Bug Busters Pest Control, LLC
• James L Bugg III, MD

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.