Male Medical Group Management, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MALE MEDICAL GROUP MANAGEMENT, LLC

Practice address

14615 San Pedro Ave
San Antonio, TX 78232-4321

Phone

(210) 263-9878

Fax

(210) 855-8382

NPI assigned

Oct 8, 2013

Last updated

Oct 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Heath

Title

Owner

Phone

(210) 263-9878

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1518394485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14615 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324321",
            "telephone_number": "210-263-9878",
            "fax_number": "210-855-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14615 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324321",
            "telephone_number": "210-263-9878",
            "fax_number": "210-855-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALE MEDICAL GROUP MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-263-9878",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santana Maldonado, LPC-S, LCDC, LCCA
• Sylvia E Maldonado, LPC
• Victoria Maldonado, LPC
• Yasiria Maldonado, RN
• Ylsse Kristel Maldonado, M.S., CCC-SLP
• Farbod Malek, MD
• Maggie Malek, MS, RD, LD
• Chad Malesich, PT
• Veronica Maley, PA
• Jodie Malhotra, PHARMD

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.