ANDY RAUL MANZANO MATOS PA
NPI 1043913163
Physician Assistant - Medical in San Antonio, TX

Q: What is Andy Manzano Matos's NPI number?

The NPI number for Andy Manzano Matos is 1043913163. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Q: What is Andy Manzano Matos's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since March 27, 2023

11329 WEST AVE, SAN ANTONIO, TX 78213(210) 886-8666(210) 886-8667 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Andy Raul Manzano Matos Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDY RAUL MANZANO MATOS PA (NPI 1043913163) is an individual medical provider in San Antonio, Texas, licensed in Puerto Rico (1551) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1043913163

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameANDY RAUL MANZANO MATOSCredential: PA

Location Address11329 WEST AVESan Antonio, TX 78213-1341

Mailing Address11329 West AveSan Antonio, TX 78213-1341 · (210) 886-8666 · Fax (210) 886-8667

Phone(210) 886-8666

Fax(210) 886-8667

Sole ProprietorYes

Enumeration DateMarch 27, 2023

Last NPPES UpdateApril 25, 2023

NPPES CertifiedApril 25, 2023

✔ NPI 1043913163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PR · 1551

11329 WEST AVE, San Antonio, TX 78213

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRACTICAL HEALTH MANAGEMENT LLC

Family Medicine

11329 WEST AVE
SAN ANTONIO, TX 78213

Bexar County (832) 538-9188

YOSVANI SOTO SANCHEZ ARNP,FNP

Nurse Practitioner

11329 WEST AVE
SAN ANTONIO, TX 78213

Bexar County (210) 886-8666

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andy Manzano Matos's NPI number?

The NPI number for Andy Manzano Matos is 1043913163. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Andy Manzano Matos located?

Andy Manzano Matos practices at 11329 West Ave, San Antonio, TX 78213. The listed phone number is (210) 886-8666.

What is Andy Manzano Matos's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Andy Manzano Matos was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.