LUIS DANIEL PEREZ (NPI# 1629011085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629011085 |
| Entity Type | Individual |
| Full Name | LUIS DANIEL PEREZ |
| Credential | P.A. |
| Practice Address |
1200 Brooklyn Ave 320 San Antonio TX 78212-4803 |
| Practice Telephone | 2103965310 |
| Practice Fax Number | 2103965316 |
| Mailing Telephone | 2103965310 |
| Mailing Fax Number | 2103965316 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA03892 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AETNA | 7863511 | 01 |
| TX | RAILROAD MEDICARE | P00217741 | 01 |
| TX | BCBS | 8N4701 | 01 |
| TX | PA03892 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002289 | Luis Perez | Dentist | 2050 40th Ave Ste 6, Vero Beach, FL 32960-2467 | 2018-11-19 |
| 1790275568 | Luis Perez | Behavior Technician | 8910 Sw 172nd Ave, Miami, FL 33196-3061 | 2018-05-16 |
| 1144739277 | Luis Antonio Perez | Social Worker | 2112 E 4th St. #107, Santa Ana, CA 92807 | 2017-09-20 |
| 1598203416 | Luis Perez | Nurse Anesthetist, Certified Registered | 5924 Sw 162nd Pl, Miami, FL 33193-5661 | 2017-02-11 |
| 1699213801 | Luis Perez | Specialist/Technologist | 2565 Springdale Cir, Naperville, IL 60564-8732 | 2017-02-08 |
| 1295270205 | Luis Perez | Counselor | 2570 Justin Rd Ste 202, Highland Village, TX 75077-3096 | 2016-12-29 |
| 1659732154 | Luis Perez | Student in an Organized Health Care Education/Training Program | 3115 S 53rd Ave, Cicero, IL 60804-3917 | 2016-03-10 |
| 1659619930 | Luis E Perez Sr. | Occupational Therapist | Rr 1 Box 44268, San Sebastian, PR 00685-6216 | 2013-01-22 |
| 1740436252 | Luis L. Perez | Family Medicine | 801 Pro Dr Ste D1, Celina, OH 45822 | 2008-08-15 |
| 1275749657 | Luis Francisco Perez | Technician | 18455 Miramar Pkwy Ste 108, Miramar, FL 33029-5871 | 2007-05-15 |
| Street Address |
1200 BROOKLYN AVE 320 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194726448 | Daniel Dong Wook Hyun | Psychiatry & Neurology | 1200 Brooklyn Ave, Suite 230, San Antonio, TX 78212-4803 | 2005-08-09 |
| 1851848071 | Alexis Nichole Gillespie | Nurse Practitioner | 1200 Brooklyn Ave, Suite 115, San Antonio, TX 78212-4803 | 2016-09-06 |
| 1386086429 | Timothy Freeman Hunt | Physician Assistant | 1200 Brooklyn Ave, Suite 310, San Antonio, TX 78212-4803 | 2013-07-17 |
| 1841545720 | Acm Colon and Rectal Associates Pllc | Colon & Rectal Surgery | 1200 Brooklyn Ave, Suite 150, San Antonio, TX 78212-4803 | 2012-07-17 |
| 1649435850 | Ricardo Vargas | Physician Assistant | 1200 Brooklyn Ave, Suite 240, San Antonio, TX 78212-4803 | 2008-07-28 |
| 1609039049 | Mario Alberto Alcantara | Surgery | 1200 Brooklyn Ave, Suite 150, San Antonio, TX 78212 | 2008-07-07 |
| 1669634192 | Joseph A Marotta Md Pa | Internal Medicine | 1200 Brooklyn Ave, Suite 310, San Antonio, TX 78212-4803 | 2008-06-26 |
| 1902087240 | Daniel Hyun Mdpa | Psychiatry & Neurology | 1200 Brooklyn Ave, Suite 230, San Antonio, TX 78212-4803 | 2007-11-15 |
| 1144415316 | Richard A Speedlin | Family Medicine | 1200 Brooklyn Ave, Suite 130, San Antonio, TX 78212-9086 | 2007-09-11 |
| 1356550032 | Michael D Garcia, Md,p.a. | Specialist | 1200 Brooklyn Ave, Suite 365, San Antonio, TX 78212-4803 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866298 | Diana P Olivares | Physician Assistant | 8920 Quihi Way, San Antonio, TX 78254-1901 | 2020-09-17 |
| 1740893445 | Mcrm Assist, Pllc | Physician Assistant | 14546 Brook Hollow Blvd # 417, San Antonio, TX 78232-3810 | 2020-08-24 |
| 1508476086 | Matthew Gaines | Physician Assistant | 2626 Bluff Xing, San Antonio, TX 78244-1000 | 2020-08-09 |
| 1235757519 | Joseph Dominic Wechsler Jr. | Physician Assistant | 9114 Autumn Skies, San Antonio, TX 78254-1929 | 2020-07-13 |
| 1396368015 | Maureen Genov | Physician Assistant | 540 Madison Oak Dr Ste 450, San Antonio, TX 78258-3932 | 2020-05-28 |
| 1386266062 | Sun Assist, Pllc | Physician Assistant | 10650 Culebra Rd # 104-484, San Antonio, TX 78251-4949 | 2020-05-15 |
| 1134758964 | Mark Lee Nentwig | Physician Assistant | 1434 E Sonterra Blvd Ste 206, San Antonio, TX 78258-4973 | 2020-04-03 |
| 1962034694 | Christina L Russell | Physician Assistant | 525 Oak Centre Dr Ste 100, San Antonio, TX 78258-3916 | 2020-02-11 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1447808498 | Elizabeth Ann Blair | Physician Assistant | 24623 Birdie Rdg, San Antonio, TX 78260-7847 | 2019-09-03 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
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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.