NPIMap

Organization Active NPI

Jaime L Mayoral MD PA

  • Colon & Rectal Surgery Physician
  • San Antonio, TX
National Provider Identifier
1457384158
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
J9199 Issued in TX
Legal business name
JAIME L MAYORAL MD PA
Practice address
315 N San Saba
Suite 1240
San Antonio, TX 78207-3154
Phone
(210) 212-4114
Fax
(210) 212-4012
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Authorized official

Name
Dr. Jaime L Mayoral, MDNPI 1689677916
Title
Owner
Phone
(210) 212-4114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X J9199 TX
Colon & Rectal Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208C00000X J9199 TX Primary

Addresses

Primary practice location

315 N San Saba
Suite 1240
San Antonio, TX 78207-3154

Mailing address

PO Box 596
San Antonio, TX 78292-0596
Phone (210) 212-4114

Other identifiers 1

IdentifierTypeStateIssuer
160960401MedicaidTX

National Provider Directory

National Provider Directory

Locations

1200 Brooklyn Ave
Ste 150
San Antonio, TX 78212
Phone (210) 212-4114

3338 Oakwell Ct
Ste 207
San Antonio, TX 78218
Phone (210) 298-3050

8711 Village Dr
Ste 305
San Antonio, TX 78217
Phone (210) 212-4114

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1457384158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 596",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782920596",
            "telephone_number": "210-212-4114",
            "fax_number": "210-212-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N SAN SABA",
            "address_2": "SUITE 1240",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073154",
            "telephone_number": "210-212-4114",
            "fax_number": "210-212-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME L MAYORAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "MAYORAL",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-212-4114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "J9199",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "J9199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160960401",
            "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 Apr 3, 2009; 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.