Organization Active NPI

Dr. Alex de Jesus Rheumatology PA

  • Rheumatology Physician
  • San Antonio, TX
National Provider Identifier
1629200027
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
H5866 Issued in TX
Legal business name
DR. ALEX DE JESUS RHEUMATOLOGY PA
Practice address
7959 Fredericksburg Rd
Suite 135
San Antonio, TX 78229-3430
Phone
(210) 396-7410
Fax
(210) 396-7241
NPI assigned
Aug 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Dr. Alex De Jesus, M.D. PA
Title
Owner
Phone
(210) 396-7410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X H5866 TX Primary

Addresses

Primary practice location

7959 Fredericksburg Rd
Suite 135
San Antonio, TX 78229-3430

Mailing address

7959 Fredericksburg Rd
Suite 135
San Antonio, TX 78229-3430
Phone (210) 396-7410

National Provider Directory

National Provider Directory

Locations

7959 Fredericksburg Rd
Ste 135
San Antonio, TX 78229
Phone (210) 396-7410

7959 Fredericksburg Rd
#T135
San Antonio, TX 78229
Phone (210) 396-7410

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1629200027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7959 FREDERICKSBURG RD",
            "address_2": "SUITE 135",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293430",
            "telephone_number": "210-396-7410",
            "fax_number": "210-396-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7959 FREDERICKSBURG RD",
            "address_2": "SUITE 135",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293430",
            "telephone_number": "210-396-7410",
            "fax_number": "210-396-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ALEX DE JESUS RHEUMATOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-396-7410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. PA"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "H5866",
            "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 Jul 8, 2014; 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.