Provider Demographics
NPI:1073507810
Name:CARRANZA, ALBERTO SAMUEL (MD, FAAP)
Entity Type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:SAMUEL
Last Name:CARRANZA
Suffix:
Gender:M
Credentials:MD, FAAP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:315 N SAN SABA
Mailing Address - Street 2:SUITE 1135
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-3154
Mailing Address - Country:US
Mailing Address - Phone:210-704-2937
Mailing Address - Fax:210-704-4527
Practice Address - Street 1:333 N SANTA ROSA AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3108
Practice Address - Country:US
Practice Address - Phone:210-704-2190
Practice Address - Fax:210-704-3374
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-08
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL8640208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI18967Medicare UPIN