Individual provider Active NPI

Gil J Cerros

  • Independent Duty Corpsman
  • San Antonio, TX
National Provider Identifier
1801864616
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
License
1710L1002X Issued in TN
Practice address
25850 Big Bluestem
San Antonio, TX 78261
Phone
(405) 822-4471
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X 1710L1002X TN Primary

Addresses

Primary practice location

25850 Big Bluestem
San Antonio, TX 78261

Mailing address

25850 Big Bluestem
San Antonio, TX 78261
Phone (405) 822-4471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1710L1002XTNMDIndependent Duty Corpsman

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1801864616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25850 BIG BLUESTEM",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78261",
            "telephone_number": "405-822-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25850 BIG BLUESTEM",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78261",
            "telephone_number": "405-822-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERROS",
        "first_name": "GIL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "TN",
            "license": "1710L1002X",
            "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 12, 2014; 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.