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2115 Pleasanton Rd Suite 205 San Antonio TX 78221-1321 | |
| (210) 922-3627 | |
| (210) 922-3245 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 2115 Pleasanton Rd, San Antonio, Texas |
| Authorized Official Name and Position | Hugo Alonzo Rojas (PHYSICIAN) |
| Authorized Official Contact | 2109223627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2115 Pleasanton Rd Suite 205 San Antonio TX 78221-1321 Ph: (210) 922-3627 | 2115 Pleasanton Rd Suite 205 San Antonio TX 78221-1321 Ph: (210) 922-3627 |
| NPI Number | 1215150883 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 04/27/2009 |
| Medicare PECOS PAC ID | 1759433758 |
|---|---|
| Medicare Enrollment ID | O20090722000753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215150883 | NPI | - | NPPES |
| 138725010 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J0650 (Texas) | Primary |
| Provider Name | Hugo A Rojas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508978214 PECOS PAC ID: 2365469244 Enrollment ID: I20051031000159 |
| Provider Name | Claudia Berenice Prado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780198077 PECOS PAC ID: 6305103953 Enrollment ID: I20171206002889 |
| Provider Name | Roberto Rios Valle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710528567 PECOS PAC ID: 3375973480 Enrollment ID: I20200413002598 |
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