Provider Demographics
NPI:1093796195
Name:CHINEA, EUGENIO ROBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENIO
Middle Name:ROBERTO
Last Name:CHINEA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8303 W MILITARY DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78227-1841
Mailing Address - Country:US
Mailing Address - Phone:210-674-6130
Mailing Address - Fax:210-674-0990
Practice Address - Street 1:8303 W MILITARY DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78227-1841
Practice Address - Country:US
Practice Address - Phone:210-674-6130
Practice Address - Fax:210-674-0990
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3237207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX102109904OtherWELLMED MEDICAID
TX8L8824OtherPRINCETON MEDICAL GROUP PA
TX102109901Medicaid
TX85720YOtherTX BC/BS
TX8L8824OtherWELLMED MEDICARE
TX102109904OtherWELLMED MEDICAID