Individual provider Active NPI

Mayra Isabel Hilario

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1497431399
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1100424 Issued in TX
Practice address
4751 Hamilton Wolf Rd Suite 200
San Antonio, TX 78229
Phone
(210) 233-7126
Fax
(210) 702-4233
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1100424 TX Primary

Addresses

Primary practice location

4751 Hamilton Wolf Rd Suite 200
San Antonio, TX 78229

Mailing address

4751 Hamilton Wolf Rd Suite 200
San Antonio, TX 78229
Phone (210) 233-7126

Other names 1

  • Mrs. Mayra Isabel Guerrero Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230913002561 TX Practitioner - Nurse Practitioner 5092179754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Liver Consultants PAGroup PAC ID 6103063078, 36 clinicians

Practice addresses (Care Compare)

607 Camden St
Suite 108
San Antonio, TX 78215-2100
Phone (210) 253-3426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1100424TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Liver Consultants PA CurrentSince Jul 27, 2023 Accepting new patients

Locations

4751 Hamilton Wolfe Rd
Ste 200
San Antonio, TX 78229
Phone (210) 233-7126

4318 De Zavala Rd
Bldg 4
San Antonio, TX 78249

607 Camden St
Ste 108
San Antonio, TX 78215
Phone (210) 325-8402

Organizations & group practices 1

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1497431399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 HAMILTON WOLF RD SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-233-7126",
            "fax_number": "210-702-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 HAMILTON WOLF RD SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-233-7126",
            "fax_number": "210-702-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILARIO",
        "first_name": "MAYRA",
        "middle_name": "ISABEL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1100424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYRA",
            "last_name": "GUERRERO",
            "middle_name": "ISABEL",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.