Active NPI
Ma Medical Services, LLC
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1811208150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MA MEDICAL SERVICES, LLC
- Practice address
- 3453 N Panam Expy
Ste 101
San Antonio, TX 78219-2333 - Phone
- (210) 354-7139
- NPI assigned
- Jul 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Martin Contreras, PHD(C)
- Title
- Co-Owner/Program Manager
- Phone
- (210) 248-9458
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Adult Medicine Physician | 207QA0505X | |||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | |||
| Forensic Psychiatry Physician | 2084F0202X | |||
| Psychosomatic Medicine Physician | 2084P0015X | |||
| Psychiatry Physician | 2084P0800X | |||
| Addiction Psychiatry Physician | 2084P0802X | |||
| Geriatric Psychiatry Physician | 2084P0805X | |||
| Interventional Pain Medicine Physician | 208VP0014X | |||
| Home Health Agency | 251E00000X | |||
| Home Infusion Agency | 251F00000X | |||
| Physiological Laboratory | 293D00000X |
Addresses
Primary practice location
3453 N Panam Expy
Ste 101
San Antonio, TX 78219-2333
Mailing address
3453 N Panam Expy
Ste 101
San Antonio, TX 78219-2333
Phone (210) 385-6168
Other names 1
- MA Medical Services
National Provider Directory
National Provider DirectoryLocations
3453 N Panam Expy
Ste 101
San Antonio, TX 78219
Phone (210) 354-7139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488153600000",
"number": "1811208150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3453 N PANAM EXPY",
"address_2": "STE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782192333",
"telephone_number": "210-385-6168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3453 N PANAM EXPY",
"address_2": "STE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782192333",
"telephone_number": "210-354-7139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MA MEDICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-01",
"last_updated": "2017-02-27",
"status": "A",
"authorized_official_last_name": "CONTRERAS",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "CO-OWNER/PROGRAM MANAGER",
"authorized_official_telephone_number": "210-248-9458",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHD(C)"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084F0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0015X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MA Medical Services",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.