CARIDAD M. REBOLLAR (NPI# 1073598520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073598520 |
| Entity Type | Individual |
| Full Name | CARIDAD M. REBOLLAR |
| Credential | M.D. |
| Practice Address |
2902 Goliad Rd Suite 103 San Antonio TX 78223-3958 |
| Mailing Address |
7142 San Pedro Ave Suite 120 San Antonio TX 78216-6254 |
| Practice Telephone | 2103374911 |
| Practice Fax Number | 2103377749 |
| Mailing Telephone | 2106615622 |
| Mailing Fax Number | 2103954012 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | K3419 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
K3419 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 118263603 | 05 | |
| TX | 1182636-05 | 05 | |
| TX | MEDICARE RAILROAD | 110207848 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 113 Pleasant Valley Dr Ste 210, Boerne, TX 780065683 | 8302674575 | 8302674575 |
| Street Address |
2902 GOLIAD RD SUITE 103 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78223-3958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760847834 | Texas Physical Therapy Specialists | Physical Therapist | 2902 Goliad Rd, San Antonio, TX 78223-3958 | 2015-12-16 |
| 1467707240 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 2902 Goliad Rd, Suite 103, San Antonio, TX 78223-3971 | 2012-07-18 |
| 1336410174 | Consultants In Pain Medicine, Pa | Pain Medicine | 2902 Goliad Rd, Suite 105, San Antonio, TX 78223-3958 | 2012-01-25 |
| 1780961193 | Hill Country Pain Associates, P.a. | Pain Medicine | 2902 Goliad Rd, Suite 105, San Antonio, TX 78223-3958 | 2011-11-14 |
| 1467616516 | David A Stark | Hearing Instrument Specialist | 2902 Goliad Rd, Suite 124, San Antonio, TX 78223-3958 | 2008-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310344 | Celebraces Se Military Pllc | Dentist | 3611 Se Military Drive, Suite B101, San Antonio, TX 78223 | 2019-08-08 |
| 1295204410 | All Discountz Mobile Phlebotomy Services | Contractor | 6639 South New Braunfels, #19101, San Antonio, TEXAS 78223 | 2018-11-16 |
| 1588131585 | Ad Mobile Phlebotomy Services | Technician, Pathology | 6639 South New Braunfels Avenue, #19101, San Antonio, TEXAS 78223 | 2018-10-28 |
| 1437626694 | Valerie Brown | Technician, Pathology | C/o 6639 South New Braunfels Avenue, #19101, San Antonio, TEXAS 78223 | 2018-10-25 |
| 1285135574 | Allan Socrates Mamaril Angeles | Registered Nurse | 535 Hot Wells Blvd, Apt 301, San Antonio, TX 78223 | 2018-02-22 |
| 1356799845 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3502 Se Military Drive, San Antonio, TX 78223 | 2016-05-25 |
| 1467810325 | Dsi Southeast San Antonio, LLC | Clinic/Center | 2635 S.e. Military Drive, San Antonio, TX 78223 | 2016-02-08 |
| 1477832293 | Jg-surgical Assistant's,llc | Specialist/Technologist, Other | 5311 Cynthia Linn, San Antonio, TX 78223 | 2011-08-10 |
| 1841580826 | Kiddo Denal Pa | Dentist | 3520 S. New Braunfels Ste 100, Kiddo Dental, San Antonio, TX 78223 | 2011-04-12 |
| 1770885162 | Primavera Primary Home Care, Inc | Custodial Care Facility | 1007 Fair, San Antonio, TX 78223 | 2010-11-17 |
| Find all providers in zip 78223 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871656025 | Irving Matthew Cohen | Internal Medicine | 18739 Double Fork Rd, San Antonio, TX 78258 | 2006-12-19 |
| 1851368112 | Renal Associates, P.a. | Internal Medicine | 16620 N Us Hwy 281, Ste 300, San Antonio, TX 78232-2679 | 2006-03-07 |
| 1881660454 | Michael Degaetano | Internal Medicine | 5620 Lone Star Pkwy # 2, San Antonio, TX 78253-2202 | 2006-02-24 |
| 1922074798 | Anwar Soliman Gerges | Internal Medicine | 19234 Stonehue, San Antonio, TX 78258-3477 | 2006-02-23 |
| 1144295064 | Timoteo Cabrera IIi | Internal Medicine | 303 N Frio St, San Antonio, TX 78207-3034 | 2006-02-22 |
| 1730154667 | Cleve Brantley Collins | Internal Medicine | 5131 Medical Dr, Ste 120, San Antonio, TX 78229-5062 | 2006-02-22 |
| 1811962723 | Lisa Ochoa Cabrera | Internal Medicine | 4439 E Southcross Blvd, Renal Associates Pa, San Antonio, TX 78222-7822 | 2006-02-22 |
| 1467427401 | Ronald W Hamner | Internal Medicine | 1123 N Main Ave Ste 120, San Antonio, TX 78212-4738 | 2006-02-22 |
| 1184609349 | Rodolfo O Garza | Internal Medicine | 731 Carnoustie Dr, Suite 102, San Antonio, TX 78258-4799 | 2005-12-09 |
| 1447235908 | Peter Smolens | Internal Medicine | 2391 Ne Loop 410, Suite 405, San Antonio, TX 78217-5600 | 2005-12-07 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78223 |
Please comment or provide details below to improve the information on CARIDAD M. REBOLLAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.