SERGIO ANDRES VALLEJO AVILA MD
NPI 1538891585
Student in an Organized Health Care Education/Training Program in San Antonio, TX

Q: What is Sergio Vallejo Avila's NPI number?

The NPI number for Sergio Vallejo Avila is 1538891585. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Q: What is Sergio Vallejo Avila's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since June 28, 2022PECOS Enrolled

4114 MEDICAL DR APT 1217, SAN ANTONIO, TX 78229(305) 850-5910 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Sergio Andres Vallejo Avila Md NPPES

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

SERGIO ANDRES VALLEJO AVILA MD (NPI 1538891585) is an individual student in an organized health care education/training program in San Antonio, Texas and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538891585

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSERGIO ANDRES VALLEJO AVILACredential: MD

Location Address4114 MEDICAL DR APT 1217San Antonio, TX 78229-5633

Mailing Address5114 Medical Dr Apt 1217San Antonio, TX 78229-3839 · (305) 850-5910

Phone(305) 850-5910

Sole ProprietorNo

Enumeration DateJune 28, 2022

NPPES CertifiedJune 28, 2022

✔ NPI 1538891585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4114 MEDICAL DR APT 1217, San Antonio, TX 78229

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sergio Andres Vallejo Avila Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Sergio Vallejo Avila's NPI number?

The NPI number for Sergio Vallejo Avila is 1538891585. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is Sergio Vallejo Avila located?

Sergio Vallejo Avila practices at 4114 Medical Dr Apt 1217, San Antonio, TX 78229. The listed phone number is (305) 850-5910.

What is Sergio Vallejo Avila's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sergio Vallejo Avila enrolled in Medicare?

Yes. Sergio Vallejo Avila is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sergio Vallejo Avila was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.