Active NPI
Rene Guardiola, SURGICAL ASSISTANT
- Surgical Assistant
- Somerset, TX
National Provider Identifier
1639415151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 12-217
- Practice address
- 21026 Somerset Rd Unit 2
Somerset, TX 78069-3380 - Phone
- (210) 313-1452
- NPI assigned
- Jan 2, 2013
- Last updated
- Oct 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 12-217 | TX | Primary |
Addresses
Primary practice location
21026 Somerset Rd Unit 2
Somerset, TX 78069-3380
Mailing address
21026 Somerset Rd Unit 2
Somerset, TX 78069-3380
Phone (210) 313-1452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12-217 | TX | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477612800000",
"number": "1639415151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21026 SOMERSET RD UNIT 2",
"city": "SOMERSET",
"state": "TX",
"postal_code": "780693380",
"telephone_number": "210-313-1452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21026 SOMERSET RD UNIT 2",
"city": "SOMERSET",
"state": "TX",
"postal_code": "780693380",
"telephone_number": "210-313-1452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUARDIOLA",
"first_name": "RENE",
"credential": "SURGICAL ASSISTANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-02",
"last_updated": "2016-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "12-217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, TX
- Bexar Eye Care PLLC (Vision Source Somerset)
- Delhi Adan-Rice DDS PA (K Street Family Dental)
- El Centro del Barrio, Inc. (CentroMed Maria Castro Flores Clinic)
- Margo Lisa Garza
- Melissa Kay Gillis, MS, CCC-SLP
- Julie Hatfield, LM, CPM
- Adrian Hernandez, SLP-A
- Tammy Lynn Schaale, LPC, LCDC
- Dennis Michael Scholl, PH.D.
- Somerset Dental Group PLLC (Family Choice Dental Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.