El Centro del Barrio, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

EL CENTRO DEL BARRIO, INC.

Doing business as

CentroMed SA Pediatrics

Practice address

20627 Huebner Rd # A101
San Antonio, TX 78258-4765

Phone

(210) 223-3543

Fax

(210) 924-1374

NPI assigned

Aug 6, 2019

Last updated

Jun 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence C Walzel, CPA, MBA

Title

VP/Cfo

Phone

(210) 334-3727

Specialties & licenses 1

Addresses

Other names 1

• CentroMed SA Pediatrics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jorge A Hernandez, MD

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1891757415
  NPD

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1447805452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 COMMERCIAL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782213117",
            "telephone_number": "210-922-7000",
            "fax_number": "210-924-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20627 HUEBNER RD # A101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584765",
            "telephone_number": "210-223-3543",
            "fax_number": "210-924-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CENTRO DEL BARRIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "WALZEL",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "210-334-3727",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA, MBA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CentroMed SA Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• El Centro del Barrio, Inc. (Children's Shelter Clinic)
• El Centro del Barrio, Inc. (CentroMed Northwest Clinic)
• El Centro del Barrio, Inc. (Residential Treatment Center Clinic)
• El Centro del Barrio, Inc. (CentroMed SA Pediatrics)
• El Centro del Barrio, Inc. (Lanier Student Health Center)
• El Centro del Barrio, Inc. (CentroMed)
• El Centro del Barrio, Inc. (Dwyer Avenue Clinic)
• El Centro del Barrio, Inc. (CentroMed SA Pediatrics)
• El Centro del Barrio, Inc. (CentroMed SA Pediatrics)
• El Centro del Barrio, Inc. (CentroMed South Park Medical Clinic)

• Federally Qualified Health Center (FQHC) in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.