Edmundo Reveron-Questell, MD MPH

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F0294 Issued in TX

Practice address

4335 W Piedras Dr
Ste 103
San Antonio, TX 78228-1215

Phone

(210) 600-4117

Fax

(210) 600-3849

NPI assigned

Jun 22, 2006

Last updated

Aug 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edmundo.reveron-questell.1@22810.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abridged Therapy PLLC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1457060477
  NPD
• Life Fulfillment and Wellness LLC

  • Mental Health Counselor
  • San Antonio, TX
  • NPI 1619540077

  Family Medicine

  NPD
• Complete Medical Care PA

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1245200369
  NPD (past)
• Hondo Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Hondo, TX
  • NPI 1659383685
  NPD (past)
• Texas Em-1 Medical Services, PA

  • Physician Assistant
  • Texarkana, TX
  • NPI 1558314062
  NPD (past)
• Texas Emergency Room Services PA

  • Emergency Medicine Physician
  • Del Rio, TX
  • NPI 1447200696
  NPD (past)
• Texas Emergency Room Services, PA

  • Emergency Medicine Physician
  • Hondo, TX
  • NPI 1275584781
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1548206774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4335 W PIEDRAS DR",
            "address_2": "STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281215",
            "telephone_number": "210-600-4117",
            "fax_number": "210-600-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4335 W PIEDRAS DR",
            "address_2": "STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281215",
            "telephone_number": "210-600-4117",
            "fax_number": "210-600-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVERON-QUESTELL",
        "first_name": "EDMUNDO",
        "name_prefix": "Dr.",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "F0294",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F0294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Gerard Retzloff, M.D.
• Aliese Marie Reus, PHARMD
• Madison Grace Reuther, COTA
• Kelly Reveles
• Ashlyn Rose Revere, MA
• Imelda Ramirez Reveron, MA, CLINICIAN
• Revilla Capital Group, LLC (Bright Day Home Care)
• Danya Yrais Revilla, CCC-SLP
• Revise Wellness Services
• Revitalizing Minds Therapy Solutions

• 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 Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.