Individual
DR. JORGE SAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
315 N SAN SABA, SUITE 100, SAN ANTONIO, TX 78207-3154
(210) 271-7575
Mailing address
315 N SAN SABA, SUITE 100, SAN ANTONIO, TX 78207-3154
(210) 271-7575
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2386TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E60T
BLUE CROSS BLUE SHIELD
TX
05
—
019423502
—
TX
Enumeration date
07/13/2005
Last updated
07/29/2008
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