Organization
AKIVA MEDICAL SERVICES LLC
Active
Organization
AKIVA MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS R CARRETERO MD (OWNER)
(210) 979-6718
Entity
Organization
Contact information
Practice address
414 NAVARRO ST STE 703, SAN ANTONIO, TX 78205-2515
(210) 224-4811
Mailing address
PO BOX 781165, SAN ANTONIO, TX 78278-1165
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851434435
NPI TYPE 1
TX
01
—
P7616
MEDICAL LICENSE
TX
Enumeration date
05/24/2019
Last updated
05/24/2019
Update your record
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