Individual provider Active NPI

Gerardo Vazquez, M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1740274497
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G6036 Issued in TX
Practice address
9102 Floyd Curl Dr
San Antonio, TX 78240-1553
Phone
(210) 308-5933
Fax
(210) 809-6267
NPI assigned
Sep 8, 2005
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G6036 TX Primary
General Practice Physician 208D00000X G6036 TX

Addresses

Primary practice location

9102 Floyd Curl Dr
San Antonio, TX 78240-1553

Mailing address

9102 Floyd Curl Dr
San Antonio, TX 78240-1553
Phone (210) 308-5933

Other practice location 1

6430 Bandera Rd
Suite 98
San Antonio, TX 78238-1513
Phone (210) 520-4461

Other identifiers 5

IdentifierTypeStateIssuer
00R98COtherTXBCBS GROUP ID
080192275OtherTXPALMETTO GBA RAILROAD
092006802MedicaidTX
092006801MedicaidTX
133839406MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gerardovazquez@direct.practicefusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101115001011 TX Practitioner - Family PracticePractitioner - General Practice 1254416647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillside Primary Care PLLCGroup PAC ID 0648530386, 49 clinicians

Practice addresses (Care Compare)

12881 Toepperwein Rd
I35
Live Oak, TX 78233-4115
Phone (210) 742-6555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hillside Primary Care PLLC Single Specialty CurrentSince Jun 1, 2025 Accepting new patients
Valley Clinic Inc Single Specialty CurrentSince Nov 1, 1994 Accepting new patients

Locations

12410 Toepperwein Rd
#O
Live Oak, TX 78233
Phone (210) 659-4425

12881 Toepperwein Rd
#I35
Live Oak, TX 78233

6430 Bandera Rd
Ste 98
San Antonio, TX 78238
Phone (210) 326-5454

9102 Floyd Curl Dr
San Antonio, TX 78240
Phone (210) 247-0888

Interoperability endpoints

  • Direct secure messaging: gerardovazquez@direct.practicefusion.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1740274497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9102 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401553",
            "telephone_number": "210-308-5933",
            "fax_number": "210-809-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9102 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401553",
            "telephone_number": "210-308-5933",
            "fax_number": "210-809-6267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6430 Bandera Rd",
            "address_2": "Suite 98",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782381513",
            "country_code": "US",
            "telephone_number": "210-520-4461",
            "fax_number": "210-520-9130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "GERARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G6036",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "G6036",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID",
            "identifier": "00R98C",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "080192275",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092006802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092006801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133839406",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gerardovazquez@direct.practicefusion.com",
            "affiliation": "N",
            "address_1": "9102 Floyd Curl Dr",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782401553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.