Organization Active NPI

Joaquin Marron M D P a

  • Basic Emergency Medical Technician
  • San Antonio, TX
National Provider Identifier
1588977292
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
DO211 Issued in TX
Legal business name
JOAQUIN MARRON M D P A
Practice address
718 Cupples Rd
Suite 104
San Antonio, TX 78237-4357
Phone
(210) 434-0551
Fax
(210) 434-3030
NPI assigned
Jul 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Authorized official

Name
Joaquin Marron, M.D., P.A.
Title
Doctor
Phone
(210) 434-0551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 146N00000X DO211 TX Primary

Addresses

Primary practice location

718 Cupples Rd
Suite 104
San Antonio, TX 78237-4357

Mailing address

718 Cupples Rd
Suite 104
San Antonio, TX 78237-4357
Phone (210) 434-0551

Other identifiers 1

IdentifierTypeStateIssuer
0921082-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

718 Cupples Rd
Ste 104
San Antonio, TX 78237
Phone (210) 434-0551

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1588977292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 CUPPLES RD",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782374357",
            "telephone_number": "210-434-0551",
            "fax_number": "210-434-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 CUPPLES RD",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782374357",
            "telephone_number": "210-434-0551",
            "fax_number": "210-434-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAQUIN MARRON M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "MARRON",
        "authorized_official_first_name": "JOAQUIN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "210-434-0551",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": "TX",
            "license": "DO211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0921082-01",
            "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 Aug 17, 2010; 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.