CENTROMED SA PEDIATRICS – NPI #1013562842
Clinic/Center

CENTROMED SA PEDIATRICS is an AHC clinic located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1013562842 to CENTROMED SA PEDIATRICS on August 08, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTROMED SA PEDIATRICS” is a dba name, the actual legal business name for this organization is EL CENTRO DEL BARRIO, INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Jun 01, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTROMED SA PEDIATRICS below.

NPI Profile for
EL CENTRO DEL BARRIO, INC

NPI Number
1013562842
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EL CENTRO DEL BARRIO, INC
Doing Business As (dba): CENTROMED SA PEDIATRICS
Primary location
315 N SAN SABA STE 1075
SAN ANTONIO, TX 78207-3155
Phone: (210) 223-3543 Fax: (210) 924-1374
Mailing address
3750 COMMERCIAL AVE
SAN ANTONIO, TX 78221-3117
Phone: (210) 922-7000 Fax: (210) 924-1374
Organization Subpart
No
Authorized Official
LAWRENCE WALZEL
VP/CFO
Phone: (210) 334-3724
Updated
Certification Date
Jun 01, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.