San Lucas Surgical Associates PA

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

SAN LUCAS SURGICAL ASSOCIATES PA

Practice address

215 E Quincy St Ste 317
San Antonio, TX 78215-2033

Phone

(210) 910-4300

Fax

(210) 222-8200

NPI assigned

Nov 2, 2015

Organization subpart

No

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

Authorized official

Name

Sandy Valdez

Title

Credentialing Specialist

Phone

(210) 725-4646

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rolando Humberto Saenz, M.D.

  • Colon & Rectal Surgery Physician
  • San Antonio, TX
  • NPI 1316962723
  Medicare reassignment NPD

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1508239401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E QUINCY ST STE 317",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152033",
            "telephone_number": "210-910-4300",
            "fax_number": "210-222-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E QUINCY ST STE 317",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152033",
            "telephone_number": "210-910-4300",
            "fax_number": "210-222-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LUCAS SURGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "210-725-4646"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laura Elena San Martin-Pablos, DDS, MS
• Antonio A San Martin, M.D.
• Daniel Eduardo San Martin, D.D.S.

• Colon & Rectal Surgery Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Colon & Rectal Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.