Individual provider Active NPI

Homero C. Arriola, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1518097971
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F3026 Issued in TX
Practice address
4243 E Southcross Blvd
Suite 206
San Antonio, TX 78222-3727
Phone
(210) 337-4316
Fax
(210) 337-4380
NPI assigned
Mar 6, 2007
Last updated
Mar 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F3026 TX Primary

Addresses

Primary practice location

4243 E Southcross Blvd
Suite 206
San Antonio, TX 78222-3727

Mailing address

4243 E Southcross Blvd
Suite 206
San Antonio, TX 78222-3727
Phone (210) 337-4316

Other identifiers 1

IdentifierTypeStateIssuer
123902205MedicaidTX

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

State licenses

LicenseStateTypeSpecialty
F3026TXMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1518097971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4243 E SOUTHCROSS BLVD",
            "address_2": "SUITE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223727",
            "telephone_number": "210-337-4316",
            "fax_number": "210-337-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 E SOUTHCROSS BLVD",
            "address_2": "SUITE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223727",
            "telephone_number": "210-337-4316",
            "fax_number": "210-337-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRIOLA",
        "first_name": "HOMERO",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F3026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123902205",
            "state": "TX"
        }
    ],
    "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 Mar 18, 2013; 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.