Active NPI
Manuel Antonio Lopez, M.D.
- Otolaryngology/Facial Plastic Surgery Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- M2695
- Practice address
- 18322 Sonterra PL
Ste 107
San Antonio, TX 78258-4196 - Phone
- (830) 328-4206
- Fax
- (210) 966-9106
- NPI assigned
- Jul 24, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | M2695 | TX | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | M2695 | TX | Primary |
Addresses
Primary practice location
18322 Sonterra PL
Ste 107
San Antonio, TX 78258-4196
Mailing address
PO Box 591819
Ste 5104
San Antonio, TX 78259-0140
Phone (210) 495-5771
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Louisville School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18322 Sonterra PL
Suite 107
San Antonio, TX 78258-4196
Phone (210) 830-4206
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Aesthetics of Texas, PLLC | Current | Accepting new patients | |
| South Texas Ambulatory Surgery Center, LLC | Past | Accepting new patients |
Locations
109 Falls Ct
Ste 100
Boerne, TX 78006
Phone (210) 495-5771
1314 E Sonterra Blvd
Ste 5104
San Antonio, TX 78258
Phone (210) 495-2367
18322 Sonterra Pl
Ste 107
San Antonio, TX 78258
Phone (210) 495-5771
Organizations & group practices 2
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.
-
dba Advanced Aesthetics Lopez Plastic Surgery
- Specialist
- San Antonio, TX
- NPI 1326408329
-
- Ambulatory Surgical Clinic/Center
- San Antonio, TX
- NPI 1306162920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1770505984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 591819",
"address_2": "STE 5104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782590140",
"telephone_number": "210-495-5771",
"fax_number": "210-495-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18322 SONTERRA PL",
"address_2": "STE 107",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584196",
"telephone_number": "830-328-4206",
"fax_number": "210-966-9106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MANUEL",
"middle_name": "ANTONIO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "M2695",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "TX",
"license": "M2695",
"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 Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.