Olga De Luna-Demenev

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP129274 Issued in TX

Practice address

11398 Bandera Rd Ste 201
San Antonio, TX 78250-6827

Phone

(210) 281-8669

Fax

(210) 314-5044

NPI assigned

Oct 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1467823047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 SAN PEDRO AVE STE 412",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322009",
            "telephone_number": "210-464-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11398 BANDERA RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782506827",
            "telephone_number": "210-281-8669",
            "fax_number": "210-314-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LUNA-DEMENEV",
        "first_name": "OLGA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP129274",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP129274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariana De Los Santos, BCABA
• Mario Jesus De Los Santos Jr.
• Oscar De Los Santos
• Rocio Alejandra De Los Santos, M.D.
• Shara Renee De Los Santos, M.A., CCC-SLP
• Alexandria De Luna, SLPA
• Danielle Renee De Luna, LPC
• Jesus N. De Luna Jr., PMHNP-BC
• Ramon De Luna, MBA, RN
• Angelica De Marco, BEHAVIOR ANALYST

• Pediatric Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.