Organization Active NPI

Huebner Pediatrics

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1700207321
Registry record updated Dec 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M0579 Issued in TX
Legal business name
HUEBNER PEDIATRICS
Practice address
15714 Huebner Rd BLDG 3
San Antonio, TX 78248-0997
Phone
(210) 447-3000
Fax
(210) 447-3000
NPI assigned
Dec 27, 2013
Last updated
Dec 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2013

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

Authorized official

Name
Dr. Adelnery Gonzalez, M.D.NPI 1437192655
Title
Owner
Phone
(210) 447-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K1452 TX
Pediatrics Physician 208000000X M0579 TX Primary

Addresses

Primary practice location

15714 Huebner Rd BLDG 3
San Antonio, TX 78248-0997

Mailing address

15714 Huebner Rd BLDG 3
San Antonio, TX 78248-0997
Phone (210) 447-3000

Other identifiers 2

IdentifierTypeStateIssuer
120641904MedicaidTX
120641901MedicaidTX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1089597Huebner Pediatrics PA15714 Huebner Road BLDG 3, San Antonio, TX 78248Certificate of waiverSep 21, 2026

National Provider Directory

National Provider Directory

Locations

15714 Huebner Rd
Bldg 3
San Antonio, TX 78248
Phone (210) 447-3000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1700207321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15714 HUEBNER RD BLDG 3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782480997",
            "telephone_number": "210-447-3000",
            "fax_number": "210-447-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15714 HUEBNER RD BLDG 3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782480997",
            "telephone_number": "210-447-3000",
            "fax_number": "210-447-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUEBNER PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ADELNERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-447-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K1452",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M0579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120641904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120641901",
            "state": "TX"
        }
    ],
    "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 Dec 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.