DR. CARLOS ROBERTO JAEN (NPI# 1285625772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285625772 |
| Entity Type | Individual |
| Full Name | DR. CARLOS ROBERTO JAEN |
| Credential | M.D. |
| Practice Address |
4647 Medical Dr San Antonio TX 78229-4403 |
| Mailing Address |
6605 Countess Adria St San Antonio TX 78238-1510 |
| Practice Telephone | 2105920400 |
| Mailing Telephone | 2105674553 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | L4467 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 145256701 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574450 | Carlos Humberto Jaen Sr. | Physician Assistant | 1685 Sw 17th Ter, Miami, FL 33145-2809 | 2020-06-25 |
| Street Address |
4647 MEDICAL DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-4403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574476 | Jacqueline Vizcaino | Audiologist | 4647 Medical Dr, San Antonio, TX 78229-4403 | 2020-06-25 |
| 1659994101 | Blaise Lawrence Langan | Clinic/Center | 4647 Medical Dr, San Antonio, TX 78229-4403 | 2020-05-19 |
| 1710512744 | Lolita Alanna Odie | Nurse Practitioner | 4647 Medical Dr, San Antonio, TX 78229-4403 | 2020-03-10 |
| 1780154294 | Amber Olivas | Audiologist | 4647 Medical Dr, San Antonio, TX 78229-4403 | 2018-11-27 |
| 1215404660 | Stephanie Salazar | Occupational Therapist | 4647 Medical Dr, San Antonio, TX 78229-4403 | 2018-10-24 |
| 1922573476 | Dat Dinh | Occupational Therapist | 4647 Medical Dr, San Antonio, TX 78229-4403 | 2018-10-11 |
| 1902386170 | Emma Stephens | Physical Therapist | 4647 Medical Dr, San Antonio, TX 78229-4403 | 2018-08-17 |
| 1366966095 | Ramesh Ramnarine | Physical Therapist | 4647 Medical Dr, San Antonio, TX 78229-4403 | 2017-08-03 |
| 1952822934 | Katherine Reistroffer | Audiologist | 4647 Medical Dr, San Antonio, TX 78229-4403 | 2017-06-29 |
| 1184144818 | Ralph Rodriguez | Pharmacist | 4647 Medical Dr, San Antonio, TX 78229-4403 | 2017-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295327 | Courtney L Buchmeier | Family Medicine | 16620 San Pedro Ave, San Antonio, TX 78232-2327 | 2020-11-02 |
| 1255938866 | Bart Knight | Family Medicine | 106 Herweck Dr, San Antonio, TX 78213-3329 | 2020-10-06 |
| 1114530565 | Jacob C Reedy | Family Medicine | 525 Richmond Ave, San Antonio, TX 78215-2008 | 2020-08-26 |
| 1750992277 | Premier Tests LLC | Family Medicine | 410 E Wildwood, San Antonio, TX 78212-1758 | 2020-08-10 |
| 1770104457 | Bryanna Bermea Cantu | Family Medicine | 2318 San Pedro Ave Ste 12, San Antonio, TX 78212-1901 | 2020-05-04 |
| 1447886544 | Lets Look At Your Labs LLC | Family Medicine | 1603 Babcock Rd Ste 238-5, San Antonio, TX 78229-4708 | 2020-03-20 |
| 1609414937 | Lonestar Visiting Physicians LLC | Family Medicine | 406 Halliday Ave, San Antonio, TX 78210-4057 | 2019-12-17 |
| 1679126817 | Sarah Heather Martinez | Family Medicine | 15106 Oak Loft St, San Antonio, TX 78232-4617 | 2019-07-17 |
| 1659930634 | Villa Family Clinic, PC | Family Medicine | 2000 Se Loop 410 Ste 127a, San Antonio, TX 78220-4933 | 2019-06-12 |
| 1508327859 | South Texas Family Medicine and Urgent Care Center | Family Medicine | 3526 Galveston Trl, San Antonio, TX 78253-6219 | 2019-03-28 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
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| 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.