Individual provider Active NPI

Rosa A Fuentes, M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1467469908
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K1817 Issued in TX
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

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8V0062OtherTXBCBS OF TEXAS
P00321157OtherTXRR MEDICARE
118058005MedicaidTX

Other names 1

  • Rosaber A Fuentes Other name

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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.