CENTROMED SOUTH PARK DENTAL
NPI 1497935233
Clinic/Center - Federally Qualified Health Center (FQHC) in San Antonio, TX

Q: What is El Centro Del Barrio Inc's NPI number?

The NPI number for El Centro Del Barrio Inc is 1497935233. It was assigned to this organization in the NPPES registry on November 9, 2007. The provider is doing business as Centromed South Park Dental.

Q: What is El Centro Del Barrio Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since November 09, 2007

910 WAGNER AVE, SAN ANTONIO, TX 78211(210) 924-7344(210) 923-7929 Get Directions Write a Review

NPPES record last updated: June 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Centromed South Park Dental NPPES

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

CENTROMED SOUTH PARK DENTAL (NPI 1497935233) is a healthcare organization registered as a federally qualified health center (fqhc) in San Antonio, Texas and active in the NPI registry since November 2007. The organization lists Chuck Walzel, Cfo, as its authorized official.

NPPES Registry Identity

NPI1497935233

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameEL CENTRO DEL BARRIO INC

Location Address910 WAGNER AVESan Antonio, TX 78211-3213

Mailing Address3750 Commercial AveSan Antonio, TX 78221-3117 · (210) 334-3700 · Fax (210) 922-0162

Phone(210) 924-7344

Fax(210) 923-7929

Organization SubpartNo

Authorized OfficialChuck WalzelCfo · (210) 334-3724

Enumeration DateNovember 9, 2007

Last NPPES UpdateJune 1, 2012

✔ NPI 1497935233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

License✔ Licensed in TX · HBOCS007758-04-00

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License HBOCS00758-04-00 (TX)

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License HBOCS00758-04-00 (TX)

910 WAGNER AVE, San Antonio, TX 78211

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Other Names 1

Doing Business AsCentromed South Park Dental

Other Identifiers 7

Medicare PIN451834TX

OtherG60232-02TX · Delta Dental

Medicaid120980103TX

Medicaid120980105TX

Other00MT08TX · Group Medicare

Medicaid102980101TX

Medicaid120980102TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

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

RITA ALVARADO DENTAL HYGIENIST

Dental Hygienist