| Transitioncare Medical Group Llc | |
|
1202 E Sonterra Blvd Suite 302 San Antonio TX 78258-4089 | |
| (210) 615-6626 | |
| Not Available |
| Full Name | Transitioncare Medical Group Llc |
|---|---|
| Speciality | General Practice |
| Location | 1202 E Sonterra Blvd, San Antonio, Texas |
| Authorized Official Name and Position | Ricardo H. Gonzalez (COO) |
| Authorized Official Contact | 2104042650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitioncare Medical Group Llc 225 E Sonterra Blvd 201 San Antonio TX 78258-3992 Ph: (210) 499-0060 | Transitioncare Medical Group Llc 1202 E Sonterra Blvd Suite 302 San Antonio TX 78258-4089 Ph: (210) 615-6626 |
| NPI Number | 1609110923 |
|---|---|
| Provider Enumeration Date | 11/27/2012 |
| Last Update Date | 07/21/2015 |
| Medicare PECOS PAC ID | 0042455784 |
|---|---|
| Medicare Enrollment ID | O20130328000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609110923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Robert G Bass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477553857 PECOS PAC ID: 2567450398 Enrollment ID: I20040503000239 |
| Provider Name | Marcus Foos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568565661 PECOS PAC ID: 4880678820 Enrollment ID: I20040616000903 |
| Provider Name | Ololade A Reis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386742849 PECOS PAC ID: 4183645294 Enrollment ID: I20051215000769 |
| Provider Name | Carmelo Otero |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1588683155 PECOS PAC ID: 1557383882 Enrollment ID: I20080313000730 |
| Provider Name | Brenda C Arrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356394456 PECOS PAC ID: 9133281306 Enrollment ID: I20081222000604 |
| Provider Name | Ray Altamirano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609022847 PECOS PAC ID: 2365613056 Enrollment ID: I20110929000699 |
| Provider Name | Bridget A Strathopolous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891938098 PECOS PAC ID: 9638310303 Enrollment ID: I20130723000047 |
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