Active NPI
Robert Anthony Tavera, MD
- Internal Medicine Physician
- San Antonio, TX
National Provider Identifier
1730155458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- F7219
- Practice address
- 1200 Brooklyn Ave
Ste 240
San Antonio, TX 78212-4830 - Phone
- (210) 225-4511
- Fax
- (210) 225-4514
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | F7219 | TX | Primary |
Addresses
Primary practice location
1200 Brooklyn Ave
Ste 240
San Antonio, TX 78212-4830
Mailing address
2961 Mossrock
San Antonio, TX 78230-5119
Phone (210) 731-4800
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1730155458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2961 MOSSROCK",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782305119",
"telephone_number": "210-731-4800",
"fax_number": "210-731-4810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BROOKLYN AVE",
"address_2": "STE 240",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782124830",
"telephone_number": "210-225-4511",
"fax_number": "210-225-4514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAVERA",
"first_name": "ROBERT",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "F7219",
"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 Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.