Mayra Alexandra Perez
Individual provider Active NPI Family Medicine Physician · Boerne, TX
NPI 1689170482 · NPPES record last updated Aug 13, 2021
Key facts
- NPI
- 1689170482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- S9379 (TX)
- Practice address
- 25723 Old Fredericksburg Rd
Boerne, TX 78015-6605 - Phone
- (210) 450-6810
- Fax
- (210) 450-6801
- NPI assigned
- Apr 2, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Liberty Univ College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Texas Health Science Center at San Antonio
Practice addresses (Care Compare)
25723 Old Fredericksburg Rd
Boerne, TX 78015-6605
Phone (210) 450-6810
Hospital & facility affiliations
- Ut Health San Antonio Multispecialty & Research Ho
- University Health System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210719000825 | TX | Practitioner - Family Practice | 7719389493 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Health Science Center at San Antonio | Current |
Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Current |
Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Family Medicine | Current | Accepting new patients |
Locations
25723 Old Fredericksburg Rd
Boerne, TX 78015
Phone (210) 450-6800
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
Interoperability endpoints
- mperez33018@direct.utmsa.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | S9379 | TX | Yes |
Addresses
Primary practice location
25723 Old Fredericksburg Rd
Boerne, TX 78015-6605
Mailing address
25723 Old Fredericksburg Rd
Boerne, TX 78015-6605
Phone (210) 450-6810
Other providers in Boerne, TX
- Pearl Periodontics PLLC
- Pediatric Action Therapy, LLC
- Sherri A Pena
- Diana D Perez
- Diana Nicole Perez
- Victoria Cristal Perez
- Kimberly Petri
- Debra Pfeiffer
- Oksana E Pfennig
- Physio 1
All providers in Boerne, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.