Active NPI
Maximiliano Mauricio
- Registered Nurse
- San Antonio, TX
National Provider Identifier
1457171886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 711004
- Practice address
- 8418 Avalon Star
San Antonio, TX 78240-3646 - Phone
- (210) 240-6566
- NPI assigned
- Oct 11, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 711004 | TX | Primary |
Addresses
Primary practice location
8418 Avalon Star
San Antonio, TX 78240-3646
Mailing address
8418 Avalon Star
San Antonio, TX 78240-3646
Phone (210) 240-6566
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 711004 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1457171886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8418 AVALON STAR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782403646",
"telephone_number": "210-240-6566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8418 AVALON STAR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782403646",
"telephone_number": "210-240-6566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURICIO",
"first_name": "MAXIMILIANO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-11",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "711004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
- Audrey Maurer
- Cecelia A Maurer, LPC
- Kristen L Maurer
- Maurice Shaner II (Amb -Trans Ambulance)
- Joyce Valerie Rose Mauricio, RN,BSN
- Daniela Patricia Mauriz
- Joel Russel Maust, M.D.
- Maverick County Hospital District (San Antonio West Nursing and Rehabilitation)
- Amy L Maverick, MD
- Kenneth J Maverick, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.