Organization Active NPI

Ana M. Ballester-Fiallo, M.D. PLLC

  • Rheumatology Physician
  • San Antonio, TX
National Provider Identifier
1548695794
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
ANA M. BALLESTER-FIALLO, M.D. PLLC
Practice address
730 N Main Ave Ste 622
San Antonio, TX 78205-1116
Phone
(210) 225-1575
Fax
(210) 225-7709
NPI assigned
Sep 6, 2013
Last updated
Sep 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Mrs. Ana Miriam Ballester-Fiallo, M.D.
Title
M.D.
Phone
(210) 225-1575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X NU Primary

Addresses

Primary practice location

730 N Main Ave Ste 622
San Antonio, TX 78205-1116

Mailing address

730 N Main Ave Ste 622
San Antonio, TX 78205-1116
Phone (210) 225-1575

Other identifiers 1

IdentifierTypeStateIssuer
H3647OtherTXLICENCE

National Provider Directory

National Provider Directory

Locations

730 N Main Ave
Ste 622
San Antonio, TX 78205
Phone (210) 225-1575

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1548695794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N MAIN AVE STE 622",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051116",
            "telephone_number": "210-225-1575",
            "fax_number": "210-225-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N MAIN AVE STE 622",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051116",
            "telephone_number": "210-225-1575",
            "fax_number": "210-225-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANA M. BALLESTER-FIALLO, M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "BALLESTER-FIALLO",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MIRIAM",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "210-225-1575",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "H3647",
            "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 Sep 6, 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.