Active NPI
Eradio Arredondo, M.D.
- Specialist
- San Antonio, TX
National Provider Identifier
1861431256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD8137
- Practice address
- 730 N Main Ave
Suite 110
San Antonio, TX 78205-1152 - Phone
- (210) 226-9311
- Fax
- (210) 225-6270
- NPI assigned
- Jun 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD8137 | TX | Primary |
Addresses
Primary practice location
730 N Main Ave
Suite 110
San Antonio, TX 78205-1152
Mailing address
8100 Donore PL
San Antonio, TX 78229-2620
Phone (210) 349-3050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40016344 | Other | DPS NUMBER | |
| 26664 | Other | ECFMG NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD8137 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1861431256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 DONORE PL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782292620",
"telephone_number": "210-349-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 N MAIN AVE",
"address_2": "SUITE 110",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782051152",
"telephone_number": "210-226-9311",
"fax_number": "210-225-6270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARREDONDO",
"first_name": "ERADIO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "MD8137",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPS NUMBER",
"identifier": "40016344",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECFMG NUMBER",
"identifier": "26664",
"state": null
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.