Alcantara, Mario Alberto
Alcantara, Mario Alberto is an sole proprietor health care provider with primary practice located at 1200 Brooklyn Ave Suite 150, San Antonio TX 78212. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Alcantara, Mario Alberto can be contacted via phone (210) 212-4114.Contact Information
Primary practice address
1200 Brooklyn Ave Suite 150
San Antonio TX 78212
Phone: (210) 212-4114
Fax: (210) 212-4012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M9788 | Texas |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | M9788 | Texas |
Profile Details
| NPI number | 1609039049 |
|---|---|
| LBN Legal business name | Alcantara, Mario Alberto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2008 |
| Last updated | Apr 1st, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609039049 | NPPES |
| Texas | MEDICAID | 197167301 |
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