Organization Active NPI

Rosa I Vizcarra MD PA

  • Geriatric Medicine (Family Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1427318047
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
ROSA I VIZCARRA MD PA
Practice address
414 Navarro St
Ste 1111
San Antonio, TX 78205-2516
Phone
(210) 568-5600
Fax
(210) 568-5686
NPI assigned
May 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Rosa I Vizcarra, M.D.
Title
President
Phone
(210) 568-5600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

414 Navarro St
Ste 1111
San Antonio, TX 78205-2516

Mailing address

414 Navarro St
Ste 1111
San Antonio, TX 78205-2516
Phone (210) 568-5600

Other identifiers 1

IdentifierTypeStateIssuer
184189205MedicaidTX

National Provider Directory

National Provider Directory

Locations

414 Navarro St
Ste 1111
San Antonio, TX 78205
Phone (210) 271-7819

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1427318047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST",
            "address_2": "STE 1111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052516",
            "telephone_number": "210-568-5600",
            "fax_number": "210-568-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST",
            "address_2": "STE 1111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052516",
            "telephone_number": "210-568-5600",
            "fax_number": "210-568-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA I VIZCARRA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "VIZCARRA",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-568-5600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184189205",
            "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 May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.