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DIAMOND BLUE SPORTS AND HEALTH LLC
NPI 1487227872
Clinic/Center in San Antonio, TX

Active since July 22, 2021
104 GALLERY CIR STE 126, SAN ANTONIO, TX 78258(210) 494-2820 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diamond Blue Sports And Health Llc NPPES

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

DIAMOND BLUE SPORTS AND HEALTH LLC (NPI 1487227872), doing business as Blue Diamond Med Spa, is a healthcare organization registered as a clinic/center in San Antonio, Texas and active in the NPI registry since July 2021. The organization lists Veronica Kereti, Owner, as its authorized official.

NPPES Registry Identity

NPI1487227872
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDIAMOND BLUE SPORTS AND HEALTH LLC
Location Address104 GALLERY CIR STE 126San Antonio, TX 78258-3338
Mailing Address104 Gallery Cir Ste 126San Antonio, TX 78258-3338 · (210) 494-2820
Phone(210) 494-2820
Organization SubpartNo
Authorized OfficialVeronica KeretiOwner · (210) 494-2820
Enumeration DateJuly 22, 2021
NPPES CertifiedJuly 21, 2021
✔ NPI 1487227872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
104 GALLERY CIR STE 126, San Antonio, TX 78258
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Other Names 1

Doing Business AsBlue Diamond Med Spa

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 Diamond Blue Sports And Health LLC's NPI number?

The NPI number for Diamond Blue Sports And Health LLC is 1487227872. It was assigned to this organization in the NPPES registry on July 22, 2021. The provider is doing business as Blue Diamond Med Spa.

Where is Diamond Blue Sports And Health LLC located?

Diamond Blue Sports And Health LLC is located at 104 Gallery Cir Ste 126, San Antonio, TX 78258. The listed phone number is (210) 494-2820.

What is Diamond Blue Sports And Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Diamond Blue Sports And Health LLC was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.