Active NPI
Roger a Velasquez MD MPH PLLC
- Glaucoma Specialist (Ophthalmology) Physician
- San Antonio, TX
National Provider Identifier
1851883011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Glaucoma Specialist (Ophthalmology) Physician
- License
- P9481
- Legal business name
- ROGER A VELASQUEZ MD MPH PLLC
- Practice address
- 6810 West Ave
San Antonio, TX 78213-1817 - Phone
- (210) 415-6931
- NPI assigned
- Jun 4, 2018
- Last updated
- Dec 17, 2024
- 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
- Mrs. Stephanie Velasquez
- Title
- Administrator
- Phone
- (210) 983-3937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | P9481 | TX | Primary |
Addresses
Primary practice location
6810 West Ave
San Antonio, TX 78213-1817
Mailing address
110 Larkwood Dr
San Antonio, TX 78209-2908
Phone (210) 415-6931
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 336193303 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6810 West Ave
San Antonio, TX 78213
Phone (210) 415-6931
6810 West Ave
Ste A
San Antonio, TX 78213
Phone (210) 496-9992
6810 West Ave
Unit A
San Antonio, TX 78213
Phone (210) 415-6931
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Ophthalmology Physician
- San Antonio, TX
- NPI 1205154895
Glaucoma Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734393600000",
"number": "1851883011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LARKWOOD DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782092908",
"telephone_number": "210-415-6931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6810 WEST AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131817",
"telephone_number": "210-415-6931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGER A VELASQUEZ MD MPH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-04",
"last_updated": "2024-12-17",
"certification_date": "2024-12-13",
"status": "A",
"authorized_official_last_name": "VELASQUEZ",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "210-983-3937",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207WX0009X",
"taxonomy_group": "",
"desc": "Ophthalmology, Glaucoma Specialist",
"state": "TX",
"license": "P9481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "336193303",
"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 Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.