Jesse Saucedo

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Practice address

2115 Pleasanton Rd Ste 203
San Antonio, TX 78221-1300

Phone

(210) 837-5159

NPI assigned

Feb 5, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1891250742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 PLEASANTON RD STE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 PLEASANTON RD STE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211300",
            "telephone_number": "210-837-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCEDO",
        "first_name": "JESSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arantxa Saucedo, MS CF SLP
• Cynthia S Saucedo, M.D.
• Dorothy Kimberly Saucedo, FNP-BC
• Enrique Saucedo III, IDMT
• Ivanna Elizabeth Saucedo, PA-C
• Katherine Rae Saucedo, RN
• Samantha Ariana Saucedo, CF-SLP
• Senayda Marise Saucedo, MD
• Madeliene Alexandria Saudia
• Mark Lowell Sauer, DDS

• Medical Specialty Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.