EL CENTRO DEL BARRIO INC (NPI# 1497935233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497935233 |
| Entity Type | Organization |
| Organization Name | EL CENTRO DEL BARRIO INC |
| Other Organization Name | CENTROMED SOUTH PARK DENTAL |
| Practice Address |
910 Wagner Ave San Antonio TX 78211-3213 |
| Mailing Address |
3750 Commercial Ave San Antonio TX 78221-3117 |
| Practice Telephone | 2109247344 |
| Practice Fax Number | 2109237929 |
| Mailing Telephone | 2103343700 |
| Mailing Fax Number | 2109220162 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2012-06-01 |
| Authorized Official Name | CHUCK WALZEL (CFO) |
| Authorized Official Telephone | 2103343724 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
HBOCS00758-04-00 | TX | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
HBOCS00758-04-00 | TX | Dental Providers |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
HBOCS007758-04-0 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | GROUP MEDICARE | 00MT08 | 01 |
| TX | 120980102 | 05 | |
| TX | DELTA DENTAL | G60232-02 | 01 |
| TX | 102980101 | 05 | |
| TX | 120980103 | 05 | |
| TX | 120980105 | 05 |
| Other Name | Type Code |
|---|---|
| CentroMed South Park Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467592683 | El Centro Del Barrio Inc | Pharmacy | 918 Wagner, San Antonio, TX 78211-3218 | 2007-02-07 |
| 1104998749 | El Centro Del Barrio Inc | Dentist | 3750 Commercial Ave, San Antonio, TX 78221-3117 | 2006-11-15 |
| Street Address |
910 WAGNER AVE |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78211-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043267123 | Melody Zamora | Dentist | 910 Wagner Ave, San Antonio, TX 78211-3213 | 2006-05-27 |
| 1265085765 | Alexander Hernandez | Dental Hygienist | 910 Wagner Ave, San Antonio, TX 78211-3213 | 2019-07-23 |
| 1891348553 | Cassandra Rochelle Garza Strunk | Dental Hygienist | 910 Wagner Ave, San Antonio, TX 78211-3213 | 2019-07-22 |
| 1346708898 | Aniceto De La Cruz | Dental Hygienist | 910 Wagner Ave, San Antonio, TX 78211-3213 | 2019-03-04 |
| 1528525573 | Noel Marie Luna | Dental Hygienist | 910 Wagner Ave, San Antonio, TX 78211-3213 | 2019-02-26 |
| 1679020333 | Veronica D Arguello | Dental Hygienist | 910 Wagner Ave, San Antonio, TX 78211-3213 | 2016-09-09 |
| 1750836896 | Heather Blackmond | Dentist | 910 Wagner Ave, San Antonio, TX 78211-3213 | 2016-08-18 |
| 1659718898 | Anwar A Khan | Dentist | 910 Wagner Ave, San Antonio, TX 78211-3213 | 2013-05-29 |
| 1548519473 | Starr Shauna Mayen | Dentist | 910 Wagner Ave, San Antonio, TX 78211-3213 | 2012-09-06 |
| 1003103037 | Rita Alvarado | Dental Hygienist | 910 Wagner Ave, San Antonio, TX 78211-3213 | 2011-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306211735 | Flour Bluff Dental Pllc | Dentist | 1431 Palo Alto Rd, San Antonio, TX 78211 | 2015-12-10 |
| 1578903282 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 8538 Ih 35 South, San Antonio, TX 78211 | 2013-06-26 |
| 1376774448 | Esmeralda Huizar Alvarado | Dental Hygienist | 902 Wagner, San Antonio, TX 78211 | 2009-08-06 |
| 1164677134 | Deborah Rodriguez | Occupational Therapist | 102 Palo Alto Rd., Suite 140, San Antonio, TX 78211 | 2008-11-18 |
| 1083895619 | Orthotics Specialist | Prosthetic/Orthotic Supplier | Orthotics Specialist Dba Hill Country Orthotics and Pro, 6631 S Zarzamora St, San Antonio, TX 78211 | 2007-11-26 |
| 1508079435 | Huong Mai Nguyen | Optometrist | 8538 Ih-35 South, San Antonio, TX 78211 | 2007-05-07 |
| 1750593760 | Methodist Healthcare Ministries of South Texas | Clinic/Center | Wesley Primary Care Clinic, 1406 Fitch Street, San Antonio, TX 78211 | 2007-05-03 |
| 1720116825 | Pieter Laven | Dentist | 7201 Somerset Road, San Antonio, TX 78211 | 2007-03-01 |
| 1710058458 | Sa Helping Hands LLC | Home Health | 5655 Highway 35 S, San Antonio, TX 78211 | 2006-11-13 |
| 1669073839 | Callilayne Garnsey | Pharmacist | 8538 Ih-35 South, San Antonio, TX 78211 | 2020-11-04 |
| Find all providers in zip 78211 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688534 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 11930 Us Highway 90, Suite 110, San Antonio, TX 78252 | 2020-10-30 |
| 1528613510 | El Centro Del Barrio, Inc. | Clinic/Center | 730 N Main Ave Ste 224, San Antonio, TX 78205-1195 | 2019-08-06 |
| 1164980538 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 21195 W Interstate 10 Ste 2101, San Antonio, TX 78257-1675 | 2019-03-05 |
| 1104353366 | Barrio Comprehensive Family Health Care Center, Inc | Clinic/Center | 2614 W Commerce St, San Antonio, TX 78207-3765 | 2017-05-18 |
| 1275907727 | El Centro Del Barrio, Inc | Clinic/Center | 5750 Medina Base Rd, San Antonio, TX 78242-1708 | 2015-11-20 |
| 1124313804 | El Centro Del Barrio, Inc | Clinic/Center | 3127 Se Military Dr, Suite 101, San Antonio, TX 78223-3990 | 2011-06-10 |
| 1427357458 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 8210 Callaghan Road, San Antonio, TX 78230 | 2011-03-16 |
| 1982834289 | El Centro Del Barrio | Clinic/Center | 630 S General Mcmullen, San Antonio, TX 78237-2005 | 2009-07-21 |
| 1841433562 | El Centro Del Barrio, Inc | Clinic/Center | 1 Haven for Hope Way Bldg1 #300, San Antonio, TX 78207-1108 | 2009-04-10 |
| 1477628394 | El Centro Del Barrio, Inc. | Clinic/Center | 307 Dwyer Ave, San Antonio, TX 78204-1101 | 2006-11-24 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78211 |
Please comment or provide details below to improve the information on EL CENTRO DEL BARRIO INC.
| 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.