Organization
BLUFFIVEW FAMILY PRACTICE
Active
Other names
Leticia A. Cerda
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LETICIA A. CERDE M.D. (OWNER)
(210) 492-9144
Entity
Organization
Contact information
Practice address
1202 W BITTERS RD, BLDG 4, SAN ANTONIO, TX 78216-7851
(210) 492-9144
(210) 492-9024
Mailing address
1202 W BITTERS RD, BLDG 4, SAN ANTONIO, TX 78216-7851
(210) 492-9144
(210) 492-9024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K1347
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021GN
BCBS
TX
01
—
00714Q
MEDICARE
TX
01
—
5607437
AETNA
TX
01
—
8B0S40
BCBS
TX
Enumeration date
07/26/2007
Last updated
10/19/2007
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