| Alta Vita Medical Group | |
|
10300 Heritage St Ste 140 San Antonio TX 78216-3924 | |
| (210) 441-2557 | |
| (210) 349-7876 |
| Full Name | Alta Vita Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 10300 Heritage St Ste 140, San Antonio, Texas |
| Authorized Official Name and Position | Laidee Hanika Francia (OWNER/NP) |
| Authorized Official Contact | 2103329100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alta Vita Medical Group 10218 Desert Sands St Apt 5a San Antonio TX 78216-3910 Ph: (210) 341-1012 | Alta Vita Medical Group 10300 Heritage St Ste 140 San Antonio TX 78216-3924 Ph: (210) 441-2557 |
| NPI Number | 1689243156 |
|---|---|
| Provider Enumeration Date | 06/21/2021 |
| Last Update Date | 05/19/2022 |
| Medicare PECOS PAC ID | 3173911880 |
|---|---|
| Medicare Enrollment ID | O20211029002051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689243156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael C Glassinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023113792 PECOS PAC ID: 6103853718 Enrollment ID: I20080502000441 |
| Provider Name | Brian M Kanatzar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093033243 PECOS PAC ID: 0244429421 Enrollment ID: I20110104001291 |
| Provider Name | Victor M Romo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043471469 PECOS PAC ID: 5991978629 Enrollment ID: I20131213001364 |
| Provider Name | Laidee Hanika S Francia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669872214 PECOS PAC ID: 7911129960 Enrollment ID: I20141107000506 |
| Provider Name | Steven Maurice Temerlin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871569012 PECOS PAC ID: 3476534595 Enrollment ID: I20170712003381 |
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