Ricardo Luis Cuellar, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L6336 Issued in TX

Practice address

7430 Barlite Blvd
Suite 104
San Antonio, TX 78224-1365

Phone

(210) 977-9080

Fax

(210) 977-8480

NPI assigned

Jun 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cynthia Villareal MD PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1346399961

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1801890157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31109 KNOTTY GRV",
            "city": "FAIR OAKS RANCH",
            "state": "TX",
            "postal_code": "780154305",
            "telephone_number": "210-977-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 BARLITE BLVD",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241365",
            "telephone_number": "210-977-9080",
            "fax_number": "210-977-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUELLAR",
        "first_name": "RICARDO",
        "middle_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L6336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158120904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joann Cuellar
• Karina Cuellar, DNP, APRN, FNP-BC
• Megan Leanne Cuellar, MS, LPC-ASSOCIATE
• Melanie Cuellar, SLPA
• Natalie Biediger Cuellar, MD
• Serena Lawrence Cuellar, MD
• Serica Cuellar, BCBA
• Stacy Cuellar
• Susan Cuellar, RCT
• Yolanda Bargas Cuellar, PHARMACIST

• Pediatrics Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.