Organization Active NPI

Robert Lira Jr MD PA

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1770895294
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F8932 Issued in TX
Legal business name
ROBERT LIRA JR MD PA
Practice address
4006 Nogalitos
San Antonio, TX 78211-1300
Phone
(210) 979-6718
Fax
(210) 979-7843
NPI assigned
Jul 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Dr. Robert Lira Jr., MD
Title
President
Phone
(210) 979-6718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X F8932 TX Primary

Addresses

Primary practice location

4006 Nogalitos
San Antonio, TX 78211-1300

Mailing address

4006 Nogalitos
San Antonio, TX 78211-1300
Phone (210) 979-6718

Other identifiers 1

IdentifierTypeStateIssuer
114863702MedicaidTX

National Provider Directory

National Provider Directory

Locations

4006 Nogalitos
San Antonio, TX 78211
Phone (210) 921-0049

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1770895294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 NOGALITOS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782111300",
            "telephone_number": "210-979-6718",
            "fax_number": "210-979-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 NOGALITOS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782111300",
            "telephone_number": "210-979-6718",
            "fax_number": "210-979-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT LIRA JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "LIRA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-979-6718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F8932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114863702",
            "state": "TX"
        }
    ],
    "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 Jul 13, 2010; 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.