Look up the most recent NPI and PECOS records

David Ramon Baltazar

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

601 N Frio St, San Antonio, TX 78207-3011

PECOS Enrollment

This provider is enrolled in PECOS as DAVID BALTAZAR.

Based on the most recent information from CMS, provider David Ramon Baltazar is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1699225623
Provider Type
Individual
Full Name
Baltazar, David Ramon
Credential
FNP-C

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/13/2016
Last Updated
12/20/2016

Contact Information

Practice Location

601 N Frio St, San Antonio, TX 78207-3011

(210) 610-0136

Unlisted Fax

Mailing Location

661 Copper Rim, Spring Branch, TX 78070-6005

(210) 788-8290

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License AP132087 Texas

David Ramon Baltazar

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hadley, Nancy

Reddy, Janie Anu

Richardson, Yvette Michele

Solis, Juanita H.

Garcia, Donna L.

Desmet, Meagan

Guerrero, Allysa Lynn

Trinkl, Suzanne Catherine

Lemus, Rosie

Salinas, Leslie Marie