Organization Active NPI

Linda I Alfonso MD PA

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1912170838
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M5020 Issued in TX
Legal business name
LINDA I ALFONSO MD PA
Practice address
10515 SH 151 Ste 240
San Antonio, TX 78251-4409
Phone
(210) 393-3812
NPI assigned
Apr 11, 2008
Last updated
Apr 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Amy Dehaven
Title
Credentialing Specialist
Phone
(210) 615-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M5020 TX Primary

Addresses

Primary practice location

10515 SH 151 Ste 240
San Antonio, TX 78251-4409

Mailing address

PO Box 2205
San Antonio, TX 78298-2205

Other identifiers 1

IdentifierTypeStateIssuer
M5020OtherTXLISCENSE

National Provider Directory

National Provider Directory

Locations

10515 Sh 151
Ste 240
San Antonio, TX 78251
Phone (210) 393-3812

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.

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1912170838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782982205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 SH 151 STE 240",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514409",
            "telephone_number": "210-393-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA I ALFONSO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "DEHAVEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "210-615-9990"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M5020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENSE",
            "identifier": "M5020",
            "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 Apr 11, 2008; 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.