THE SKIN CENTER OF SAN ANTONIO, PLLC
NPI 1700199692
Dermatology in San Antonio, TX

Active since July 20, 2010CLIA 45D2052037 · Waiver
10007 HUEBNER RD, BLDG A SUITE 102, SAN ANTONIO, TX 78240(210) 268-4941(210) 695-7730 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About The Skin Center Of San Antonio, Pllc NPPES

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

THE SKIN CENTER OF SAN ANTONIO, PLLC (NPI 1700199692) is a healthcare organization registered as a dermatology in San Antonio, Texas and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Virnalisis M Gonzalez-marrero, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1700199692
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameTHE SKIN CENTER OF SAN ANTONIO, PLLC
Location Address10007 HUEBNER RD, BLDG A SUITE 102San Antonio, TX 78240-1675
Mailing AddressPo Box 591455San Antonio, TX 78259-0122 · (210) 268-4941 · Fax (210) 695-7730
Fax(210) 695-7730
Organization SubpartNo
Authorized OfficialVirnalisis M Gonzalez-marreroOwner/physician · (210) 268-4941
Enumeration DateJuly 20, 2010
Last NPPES UpdateJuly 8, 2024
NPPES CertifiedJuly 8, 2024
✔ NPI 1700199692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
10007 HUEBNER RD, San Antonio, TX 78240

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Skin Center Of San Antonio, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20110330000481Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to The Skin Center Of San Antonio, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1194735290
10007 HUEBNER RD BLDG A SUITE 102
San Antonio, TX 78240
(210) 268-4941
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2052037

The Skin Center Of San Antonio PLLC · San Antonio, TX
Active · expires Jan 3, 2027
CLIA Number45D2052037
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorVirnalisis Gonzalez MD
Laboratory Phone(210) 268-4941
Laboratory LocationThe Skin Center Of San Antonio PLLC10007 Huebner Road, Suite 102, San Antonio, TX 78240
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 The Skin Center Of San Antonio, PLLC's NPI number?

The NPI number for The Skin Center Of San Antonio, PLLC is 1700199692. It was assigned to this organization in the NPPES registry on July 20, 2010.

Where is The Skin Center Of San Antonio, PLLC located?

The Skin Center Of San Antonio, PLLC is located at 10007 Huebner Rd Bldg A Suite 102, San Antonio, TX 78240. The listed phone number is (210) 268-4941.

What is The Skin Center Of San Antonio, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is The Skin Center Of San Antonio, PLLC enrolled in Medicare?

Yes. The Skin Center Of San Antonio, PLLC is registered in the Medicare PECOS enrollment system.

When is The Skin Center Of San Antonio, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through The Skin Center Of San Antonio, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to The Skin Center Of San Antonio, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does The Skin Center Of San Antonio, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2052037) is associated with this NPI, valid through January 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Skin Center Of San Antonio, PLLC was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.