Serenity Oaks, PLLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SERENITY OAKS, PLLC

Practice address

5368 Fredericksburg Rd Ste 100
San Antonio, TX 78229-6108

Phone

(210) 549-4333

Fax

(210) 549-4339

NPI assigned

Apr 20, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Raul G Martinez, MD

Title

Owner

Phone

(210) 549-4333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1555718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555718400000",
    "number": "1730742198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5368 FREDERICKSBURG RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296108",
            "telephone_number": "210-549-4333",
            "fax_number": "210-549-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5368 FREDERICKSBURG RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296108",
            "telephone_number": "210-549-4333",
            "fax_number": "210-549-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY OAKS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-20",
        "last_updated": "2019-04-20",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-549-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "J9906",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.