Reymundo Quezada

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

37303 Issued in TX

Practice address

4211 Gardendale St Ste 200a
San Antonio, TX 78229-3529

Phone

(210) 615-7837

NPI assigned

Aug 31, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1760964183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 GARDENDALE ST STE 200A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 GARDENDALE ST STE 200A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293529",
            "telephone_number": "210-615-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZADA",
        "first_name": "REYMUNDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "37303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124259502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578708483",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos R. Quezada
• Dagoberto Quezada, R.PH.
• Elvia Quezada
• Gerardo Quezada, MD
• Jennifer Quezada, MA, BCBA
• Helena Hermoso Quezon, RN
• Ervette Quick, LVN
• Quickdoc, PA
• Donald Thomas Quigley, DDS
• William Ellis Quigley, PHARMD.

• Speech-Language Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.