MARIE CECILIA PERUSEK M.D. NPI 1740303171

NPI Information

  • NPI: 1740303171
  • Provider Name: MARIE CECILIA PERUSEK, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 88 BRIGGS AVE., SOUTHWEST DIAGNOSTIC CENTER
    SUITE 110
    SAN ANTONIO, TX
    ZIP 78224
  • Phone: (210) 921-0902

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NPI Details

Marie Cecilia Perusek, M.D. is a diagnostic radiology radiology in San Antonio, TX with 45 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Marie Cecilia Perusek, M.D. NPI is 1740303171. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:1981

The provider's business location address is:

88 BRIGGS AVE., SOUTHWEST DIAGNOSTIC CENTER
SUITE 110
SAN ANTONIO, TX
ZIP 78224-000
Phone: (210) 921-0902
Fax: (210) 923-8220

The NPI 1740303171 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyF9943TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C20437MEDICARE UPINTEXAS

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: 11/21/2025

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