| San Antonio Aids Foundation | |
|
818 E Grayson St San Antonio TX 78208-1013 | |
| (210) 225-4715 | |
| (210) 224-7730 |
| Full Name | San Antonio Aids Foundation |
|---|---|
| Speciality | Internal Medicine |
| Location | 818 E Grayson St, San Antonio, Texas |
| Authorized Official Name and Position | Cynthia Nelson (CEO) |
| Authorized Official Contact | 2102254715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Antonio Aids Foundation 818 E Grayson St San Antonio TX 78208-1013 Ph: (210) 225-4715 | San Antonio Aids Foundation 818 E Grayson St San Antonio TX 78208-1013 Ph: (210) 225-4715 |
| NPI Number | 1760932081 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 10/11/2016 |
| Medicare PECOS PAC ID | 4082990122 |
|---|---|
| Medicare Enrollment ID | O20170404001599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760932081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Texas) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (Texas) | Primary |
| Provider Name | Heta Javeri |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457517088 PECOS PAC ID: 6002059151 Enrollment ID: I20130821000687 |
| Provider Name | Lauren B Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962897116 PECOS PAC ID: 9931427010 Enrollment ID: I20150422000337 |
| Provider Name | Rene R Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538630355 PECOS PAC ID: 8921343435 Enrollment ID: I20190102001429 |
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