The Skin Center of San Antonio, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

THE SKIN CENTER OF SAN ANTONIO, PLLC

Practice address

10007 Huebner Rd
BLDG a Suite 102
San Antonio, TX 78240-1675

Phone

(210) 268-4941

Fax

(210) 695-7730

NPI assigned

Jul 20, 2010

Organization subpart

No

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

Authorized official

Name

Virnalisis M Gonzalez-Marrero, M.D.NPI 1194735290

Title

Owner/Physician

Phone

(210) 268-4941

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Virnalisis M Gonzalez-Marrero, M.D.

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1194735290
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1700199692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591455",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590122",
            "telephone_number": "210-268-4941",
            "fax_number": "210-695-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10007 HUEBNER RD",
            "address_2": "BLDG A SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401675",
            "telephone_number": "210-268-4941",
            "fax_number": "210-695-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SKIN CENTER OF SAN ANTONIO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-MARRERO",
        "authorized_official_first_name": "VIRNALISIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "210-268-4941",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.