Israel D. Custodio in San Antonio - Medical
Israel D. Custodio - NPI 1366570087
Israel D. Custodio is a Medical in San Antonio, Texas. Israel D. Custodio practices all healthcare services and medical treatments related to Medical. The NPI Number for Israel D. Custodio is 1366570087. The last update date is 2007-07-08.
Israel D. Custodio's current location address is 4805 Fredericksburg Rd, San Antonio, Texas. You can contact this provider via phone number 2109797999 and fax number 2107982457. The mailing address for Israel D. Custodio is 4805 Fredericksburg Rd, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Israel D. Custodio |
|---|---|
| Address | 4805 Fredericksburg Rd, San Antonio, Texas |
| Phone Number | 2109797999 |
| Fax Number | 2107982457 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1366570087 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4805 Fredericksburg Rd |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782293627 |
| Phone Number | 2109797999 |
| Fax Number | 2107982457 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA01549 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Israel D. Custodio by the Centers for Medicare & Medicaid Services?
The Israel D. Custodio has been assigned the NPI (National Provider Identifier) 1366570087 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Israel D. Custodio located?
The Israel D. Custodio is located at 4805 Fredericksburg Rd, San Antonio, TX 782293627.
What is the Israel D. Custodio's area of specialization and corresponding taxonomy classification?
The Israel D. Custodio's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1366570087 assigned to Israel D. Custodio?
The Israel D. Custodio was issued its 1366570087 on 2007-03-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Israel D. Custodio, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Israel D. Custodio, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN