Dr Roberto J Diaz, MD | |
5522 Lone Star Pkwy, Bldg 2, Ste 101, San Antonio, TX 78253 | |
(210) 298-4900 | |
(210) 298-6631 |
Full Name | Dr Roberto J Diaz |
---|---|
Gender | Male |
Speciality | Pain Management |
Experience | 19 Years |
Location | 5522 Lone Star Pkwy, Bldg 2, San Antonio, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649591595 | NPI | - | NPPES |
319181902 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | M7142 (Texas) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | M7142 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Larina V Gutenberg Do Pllc | 5092976605 | 4 |
Entity Name | Premier Pain Consultants Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003835133 PECOS PAC ID: 0840241865 Enrollment ID: O20050208000329 |
Entity Name | Larina V Gutenberg Do Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710253646 PECOS PAC ID: 5092976605 Enrollment ID: O20120409000053 |
Mailing Address | Practice Location Address |
---|---|
Dr Roberto J Diaz, MD 5522 Lone Star Pkwy, Bldg 2, Ste 101, San Antonio, TX 78253 Ph: (210) 298-4900 | Dr Roberto J Diaz, MD 5522 Lone Star Pkwy, Bldg 2, Ste 101, San Antonio, TX 78253 Ph: (210) 298-4900 |
Timothy J Rutz, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4242 Medical Dr Ste 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180 | |
Scott Taylor Kane, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4242 Medical Dr, Suite 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180 | |
Dr. Dane Bailey, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-4509 | |
John Jeffrey Hartman, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1642 Lockhill Selma Rd, San Antonio, TX 78213 Phone: 210-233-9331 Fax: 210-233-9454 | |
Nita Elizabeth Kuttikandathil, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 7703 Floyd Curl Dr # 7838, San Antonio, TX 78229 Phone: 281-750-5341 | |
Dr. Kamala Rao, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 234 San Pedro Ave, San Antonio, TX 78205 Phone: 210-224-2424 Fax: 210-224-2040 | |
Mark E Crum, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4242 Medical Dr, Suite 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180 |