STEPHANIE MARIE MATHEU MD
NPI 1639744121
Student in an Organized Health Care Education/Training Program in San Antonio, TX

Q: What is Stephanie Matheu's NPI number?

The NPI number for Stephanie Matheu is 1639744121. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Q: What is Stephanie Matheu's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephanie Matheu was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since May 26, 2021

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-4000 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2025, Mar 25, 2025, May 26, 2021 (3 updates tracked since 2021).

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About Stephanie Marie Matheu Md NPPES

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

STEPHANIE MARIE MATHEU MD (NPI 1639744121) is an individual student in an organized health care education/training program in San Antonio, Texas, licensed in Texas (BP10081097) and active in the NPI registry since May 2021. She maintains a secondary practice location in Aguadilla.

NPPES Registry Identity

NPI1639744121

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSTEPHANIE MARIE MATHEUCredential: MD

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address4502 Medical DrSan Antonio, TX 78229-4402 · (210) 358-4000

Phone(210) 358-4000

Sole ProprietorYes

Enumeration DateMay 26, 2021

Last NPPES UpdateApril 3, 20253 updates tracked since enumeration

NPPES CertifiedApril 3, 2025

✔ NPI 1639744121 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

Licenses✔ Licensed in TX · BP10081097✔ Licensed in PR · 15732-I

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.

4502 MEDICAL DR, San Antonio, TX 78229

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Secondary Practice Location 1

Location 1Avenida Severiano Cuevas, 18 Km. 141.1 Bo. Caimital BajAguadilla, PR 00603 · Phone (787) 658-0000 ext. 1019

Other Providers at the Same Location NPPES 20

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

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)