| Joseph A Marotta Md Pa | |
|
1200 Brooklyn Ave Suite 310 San Antonio TX 78212-4803 | |
| (210) 475-0605 | |
| (210) 475-9500 |
| Full Name | Joseph A Marotta Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1200 Brooklyn Ave, San Antonio, Texas |
| Authorized Official Name and Position | Joseph Andrew Marotta (PRESIDENT) |
| Authorized Official Contact | 2104750605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph A Marotta Md Pa 1200 Brooklyn Ave Suite 310 San Antonio TX 78212-4803 Ph: (210) 475-0605 | Joseph A Marotta Md Pa 1200 Brooklyn Ave Suite 310 San Antonio TX 78212-4803 Ph: (210) 475-0605 |
| NPI Number | 1669634192 |
|---|---|
| Provider Enumeration Date | 06/26/2008 |
| Last Update Date | 11/04/2008 |
| Medicare PECOS PAC ID | 4183796766 |
|---|---|
| Medicare Enrollment ID | O20080627000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669634192 | NPI | - | NPPES |
| 195706001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J8310 (Texas) | Primary |
| Provider Name | Joseph A Marotta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750332656 PECOS PAC ID: 0648342220 Enrollment ID: I20080627000066 |
| Provider Name | Elsa T Marotta-frausto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962672808 PECOS PAC ID: 4385990340 Enrollment ID: I20180705000272 |
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