Active NPI
Juan Pablo Marusich, M.D.
- Anesthesiology Physician
- San Antonio, TX
National Provider Identifier
1508944117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- M5357
- Practice address
- 45 NE Loop 410 Ste 900
San Antonio, TX 78216-5831 - Phone
- (210) 375-7790
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | M5357 | TX | Primary |
Addresses
Primary practice location
45 NE Loop 410 Ste 900
San Antonio, TX 78216-5831
Mailing address
45 N.E. Loop 410 #900
San Antonio, TX 78216
Phone (210) 375-7790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508944117 | Other | NPI NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1508944117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 N.E. LOOP 410 #900",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78216",
"telephone_number": "210-375-7790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 NE LOOP 410 STE 900",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782165831",
"telephone_number": "210-375-7790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARUSICH",
"first_name": "JUAN PABLO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "M5357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "1508944117",
"state": null
}
],
"endpoints": [],
"other_names": []
}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 Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.