Active NPI
Rosa A Fuentes, M.D.
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1467469908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K1817
- Practice address
- 7551 Callaghan Rd Ste 120
San Antonio, TX 78229 - Phone
- (210) 920-5698
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K1817 | TX | Primary |
Addresses
Primary practice location
7551 Callaghan Rd Ste 120
San Antonio, TX 78229
Mailing address
6361 Parkland Oaks Dr
San Antonio, TX 78240-5364
Phone (210) 213-4262
Other practice location 1
3201 Cherry Ridge St
Ste. 200
San Antonio, TX 78230-4823
Phone (210) 733-5072
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8V0062 | Other | TX | BCBS OF TEXAS |
| P00321157 | Other | TX | RR MEDICARE |
| 118058005 | Medicaid | TX |
Other names 1
- Rosaber A Fuentes
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa of Texas PLLC | Past | Accepting new patients | |
| Jadac Unique Health Services | Past | Accepting new patients | |
| Integrative Medical Clinics Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1467469908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6361 PARKLAND OAKS DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782405364",
"telephone_number": "210-213-4262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7551 CALLAGHAN RD STE 120",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78229",
"telephone_number": "210-920-5698"
}
],
"practiceLocations": [
{
"address_1": "3201 Cherry Ridge St",
"address_2": "Ste. 200",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782304823",
"country_code": "US",
"telephone_number": "210-733-5072",
"fax_number": "210-733-8649",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUENTES",
"first_name": "ROSA",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K1817",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "8V0062",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00321157",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118058005",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROSABER",
"last_name": "FUENTES",
"middle_name": "A",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
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 Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.