JUAN SIMON RICO MESA


Address: 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901
Phone: 2103583555

JUAN SIMON RICO MESA (NPI# 1629566872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629566872
Entity Type Individual
Full Name JUAN SIMON RICO MESA
Credential MD
Practice Address 4502 Medical Drive, San Antonio, 78229
San Antonio
TX 55901
Mailing Address 4502 Medical Dr # 78229
San Antonio
TX 78229-4402
Practice Telephone 2103583555
Practice Fax Number 2107024239
Mailing Telephone 2103583555
Enumeration Date 2018-04-24
Last Update Date 2018-10-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 4502 MEDICAL DRIVE, SAN ANTONIO, 78229
City SAN ANTONIO
State TX
Zip Code 55901

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1871013870 Rhonda Keith Counselor 602 11th Avenue Nw #300, Rochester, MN 55901 2017-06-21
1548794316 Trevor Kindle Ophthalmology 200 1st Ave Nw, Rochester, MN 55901 2017-04-18
1659810844 Rx Team Home Health Care LLC Home Health 1027 7th St Nw Unit #204, Rochester, MN 55901 2017-02-21
1457713109 Joshua Carter Chiropractor 3270 19th St Nw Ste 203, Rochester, MN 55901 2016-03-22
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255942884 Thomas Ballas Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 2020-08-17
1851909147 Shayan Ahmed Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Dr # 7742, San Antonio, TX 78229-3901 2020-07-22
1306464524 Nancy Mo Student in an Organized Health Care Education/Training Program Ut Health Science Center At San Antonio - Agdc, 8210 Floyd Curl Drive, Msc 8103, San Antonio, TX 78229-3923 2020-07-14
1073131587 Keaton Shin Student in an Organized Health Care Education/Training Program 7123 Gallery Rdg, San Antonio, TX 78250-3305 2020-07-10
1619595154 Sarah Connell Student in an Organized Health Care Education/Training Program Ut Health Science Center At San Antonio- Aegd, 8210 Floyd Curl Dr Msc 8103, San Antonio, TX 78229-3923 2020-07-10
1336767466 Dalyssa Renee Gonzalez Student in an Organized Health Care Education/Training Program 24165 Ih 10 W Ste 125, San Antonio, TX 78257-1160 2020-07-06
1740807197 Bradley James Miller Student in an Organized Health Care Education/Training Program 146 Agency Oaks, San Antonio, TX 78249-1538 2020-07-01
1396361085 Tu Dao Student in an Organized Health Care Education/Training Program 8338 Hudson Holw, San Antonio, TX 78254-4588 2020-06-18
1386267730 Juliana Gaviria Velasquez Student in an Organized Health Care Education/Training Program 5039 Hamilton Wolfe Rd Apt 1207, San Antonio, TX 78229-4457 2020-05-20
1477175065 David Alonso Martinez Student in an Organized Health Care Education/Training Program 11659 Tribute Oaks, San Antonio, TX 78254-2103 2020-05-18
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Competitor

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City SAN ANTONIO
Zip Code 55901

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Dataset Information

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.

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