Superior Heart & Vascular Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SUPERIOR HEART & VASCULAR CENTER

Doing business as

Superior Heart & Vascular Center

Practice address

6830 Heuermann Rd
San Antonio, TX 78256-9665

Phone

(210) 802-4350

Fax

(210) 802-4351

NPI assigned

Feb 22, 2022

Last updated

Feb 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Radoslaw Stefan Kiesz, MD

Title

President

Phone

(210) 802-4350

Specialties & licenses 1

Addresses

Other names 1

• SUPERIOR HEART & VASCULAR CENTER Doing business as

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1790431401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 HEUERMANN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782569665",
            "telephone_number": "210-802-4350",
            "fax_number": "210-802-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 HEUERMANN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782569665",
            "telephone_number": "210-802-4350",
            "fax_number": "210-802-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEART & VASCULAR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "KIESZ",
        "authorized_official_first_name": "RADOSLAW",
        "authorized_official_middle_name": "STEFAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-802-4350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPERIOR HEART & VASCULAR CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marika Joyce Superales, RN
• Rebecca Superales, RBT
• Superior HME LLC
• Superior Home Health of San Antonio, LLC
• Superior Hospice IX LLC
• Superior Hospice LLC
• Superior Hospice of Las Vegas, LLC

• Ambulatory Surgical Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.