NPIMap

Organization Active NPI

Viva Pediatrics PA

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1790833291
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D1659 Issued in TX
Legal business name
VIVA PEDIATRICS PA
Practice address
7430 Barlite Blvd Suite 104
San Antonio, TX 78224-1366
Phone
(210) 977-9080
Fax
(210) 977-8480
NPI assigned
Jan 8, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Ricardo Cuellar, MDNPI 1801890157
Title
MD President
Phone
(210) 977-9080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D1659 TX Primary

Addresses

Primary practice location

7430 Barlite Blvd Suite 104
San Antonio, TX 78224-1366

Mailing address

7430 Barlite Blvd Suite 104
San Antonio, TX 78224-1366
Phone (210) 977-9080

Other identifiers 1

IdentifierTypeStateIssuer
D1659OtherTXLICESNSE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1012195Viva Pediatrics PA7430 Barlite Boulevard Suite 104, San Antonio, TX 78224Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

Locations

27511 Interstate 10 W
Bldg 1
Boerne, TX 78006

343 W Houston St
Ste 511
San Antonio, TX 78205
Phone (210) 224-2077

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1790833291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 BARLITE BLVD SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241366",
            "telephone_number": "210-977-9080",
            "fax_number": "210-977-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 BARLITE BLVD SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241366",
            "telephone_number": "210-977-9080",
            "fax_number": "210-977-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVA PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "CUELLAR",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "210-977-9080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "D1659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICESNSE",
            "identifier": "D1659",
            "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 Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.