Active NPI
Sergio Javier Valverde, ATC, LAT
- Athletic Trainer
- San Antonio, TX
National Provider Identifier
1528433562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT6456
- Practice address
- 4301 Broadway St
San Antonio, TX 78209-6318 - Phone
- (210) 829-3834
- NPI assigned
- Dec 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT6456 | TX | Primary |
Addresses
Primary practice location
4301 Broadway St
San Antonio, TX 78209-6318
Mailing address
Cerrada de Risco #133
Casa 6
Mexico City, ALVARO OBREGON 01900
MX
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT6456 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1528433562",
"addresses": [
{
"country_code": "MX",
"country_name": "Mexico",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "CERRADA DE RISCO #133",
"address_2": "CASA 6",
"city": "MEXICO CITY",
"state": "ALVARO OBREGON",
"postal_code": "01900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 BROADWAY ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782096318",
"telephone_number": "210-829-3834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALVERDE",
"first_name": "SERGIO",
"middle_name": "JAVIER",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-02",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT6456",
"primary": true
}
],
"identifiers": [],
"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 Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.