NPIMap

Organization Active NPI

Bluffivew Family Practice

Doing business as Leticia A. Cerda

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1609066547
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K1347 Issued in TX
Legal business name
BLUFFIVEW FAMILY PRACTICE
Doing business as
Leticia A. Cerda
Practice address
1202 W Bitters Rd
BLDG 4
San Antonio, TX 78216-7851
Phone
(210) 492-9144
Fax
(210) 492-9024
NPI assigned
Jul 26, 2007
Last updated
Oct 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Dr. Leticia A. Cerde, M.D.
Title
Owner
Phone
(210) 492-9144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K1347 TX Primary

Addresses

Primary practice location

1202 W Bitters Rd
BLDG 4
San Antonio, TX 78216-7851

Mailing address

1202 W Bitters Rd
BLDG 4
San Antonio, TX 78216-7851
Phone (210) 492-9144

Other identifiers 4

IdentifierTypeStateIssuer
5607437OtherTXAETNA
0021GNOtherTXBCBS
00714QOtherTXMEDICARE
8B0S40OtherTXBCBS

Other names 1

  • Leticia A. Cerda Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bluffivew Family Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1609066547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 W BITTERS RD",
            "address_2": "BLDG 4",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167851",
            "telephone_number": "210-492-9144",
            "fax_number": "210-492-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W BITTERS RD",
            "address_2": "BLDG 4",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167851",
            "telephone_number": "210-492-9144",
            "fax_number": "210-492-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFFIVEW FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "CERDE",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-492-9144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K1347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5607437",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0021GN",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00714Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8B0S40",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leticia A. Cerda",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 19, 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.