| Leticia A. Cerda, Md, Pa | |
|
1202 W Bitters Rd Bldg 4 San Antonio TX 78216-7852 | |
| (210) 599-8300 | |
| (210) 599-8853 |
| Full Name | Leticia A. Cerda, Md, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1202 W Bitters Rd Bldg 4, San Antonio, Texas |
| Authorized Official Name and Position | Celeste Catherine Juarez (BILLING MANAGER) |
| Authorized Official Contact | 2104929144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leticia A. Cerda, Md, Pa 1202 W Bitters Rd Bldg 4 San Antonio TX 78216-7852 Ph: (210) 599-8300 | Leticia A. Cerda, Md, Pa 1202 W Bitters Rd Bldg 4 San Antonio TX 78216-7852 Ph: (210) 599-8300 |
| NPI Number | 1760637060 |
|---|---|
| Provider Enumeration Date | 12/01/2008 |
| Last Update Date | 01/05/2009 |
| Medicare PECOS PAC ID | 1456414754 |
|---|---|
| Medicare Enrollment ID | O20090113000595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760637060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K1347 (Texas) | Primary |
| Provider Name | Leticia A Cerda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730241878 PECOS PAC ID: 0042297756 Enrollment ID: I20040701000229 |
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