Rene Altamirano, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5609TG Issued in TX

Practice address

803 SW Military Dr
Suite 120
San Antonio, TX 78221-1528

Phone

(210) 924-0177

Fax

(210) 924-4729

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1629010673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 SE MILITARY DR",
            "address_2": "STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142875",
            "telephone_number": "210-924-0177",
            "fax_number": "210-924-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 SW MILITARY DR",
            "address_2": "SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211528",
            "telephone_number": "210-924-0177",
            "fax_number": "210-924-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTAMIRANO",
        "first_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5609TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0930067-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wualu Altamira, PH.D.
• Alexis Lindsay Altamirano
• Amy Altamirano
• Miranda Rae Altamirano
• Ray Altamirano, MD
• Savannah M Altamirano, ME.D.
• Ahmad Hashem Altarawneh
• Altea Medical Texas PLLC
• Brittany Michele Altermatt, ANP
• Alternate Health Labs, Inc.

• All providers in San Antonio, TX
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.