Organization Active NPI

Buena Vista Family Practice, P.a.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1558427989
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H7500 Issued in TX
Legal business name
BUENA VISTA FAMILY PRACTICE, P.A.
Practice address
1712 Buena Vista St
San Antonio, TX 78207-3803
Phone
(210) 226-6562
Fax
(210) 222-8366
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Dr. Hector Xavier Samaniego Jr., M.D.
Title
President
Phone
(210) 226-6562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X H7500 TX Primary

Addresses

Primary practice location

1712 Buena Vista St
San Antonio, TX 78207-3803

Mailing address

1712 Buena Vista St
San Antonio, TX 78207-3803
Phone (210) 226-6562

National Provider Directory

National Provider Directory

Locations

1712 Buena Vista St
San Antonio, TX 78207
Phone (210) 226-4543

4257 NW Loop 410
San Antonio, TX 78229
Phone (210) 732-1773

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1558427989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 BUENA VISTA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073803",
            "telephone_number": "210-226-6562",
            "fax_number": "210-222-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 BUENA VISTA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073803",
            "telephone_number": "210-226-6562",
            "fax_number": "210-222-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA FAMILY PRACTICE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "SAMANIEGO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "XAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-226-6562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H7500",
            "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 3, 2007; 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.