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BLUFFIVEW FAMILY PRACTICE NPI 1609066547


NPI Information

NPI: 1609066547
Provider Name: BLUFFIVEW FAMILY PRACTICE

Doing Business As: LETICIA A. CERDA

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1202 W BITTERS RD
BLDG 4
SAN ANTONIO, TX
ZIP 78216
Phone: (210) 492-9144
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BLUFFIVEW FAMILY PRACTICE is a family medicine in San Antonio, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BLUFFIVEW FAMILY PRACTICE NPI is 1609066547. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Leticia A. Cerda.

The provider's business location address is:

1202 W BITTERS RD
BLDG 4
SAN ANTONIO, TX
ZIP 78216-851
Phone: (210) 492-9144
Fax: (210) 492-9024

The provider's authorized official is Leticia A. Cerde .
The authorized official title is Owner and has the following contact phone number (210) 492-9144.

The enumeration date for this NPI number is 7/26/2007 and was last updated on 10/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineK1347TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10021GNOTHERTEXASBCBS
28B0S40OTHERTEXASBCBS
35607437OTHERTEXASAETNA
400714QOTHERTEXASMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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