Dr Jorge San Martin, OD | |
315 N San Saba, Suite 100, San Antonio, TX 78207-3154 | |
(210) 271-7575 | |
Not Available |
Full Name | Dr Jorge San Martin |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 315 N San Saba, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811995780 | NPI | - | NPPES |
019423502 | Medicaid | TX | |
00E60T | Other | TX | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2386TG (Texas) | Primary |
Provider Name | Transvision Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588847057 PECOS PAC ID: 0648452045 Enrollment ID: O20110307000360 |
Mailing Address | Practice Location Address |
---|---|
Dr Jorge San Martin, OD 315 N San Saba, Suite 100, San Antonio, TX 78207-3154 Ph: (210) 271-7575 | Dr Jorge San Martin, OD 315 N San Saba, Suite 100, San Antonio, TX 78207-3154 Ph: (210) 271-7575 |
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