Provider Demographics
NPI:1104832930
Name:TAMAYO, HECTOR EDWIN (MD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:EDWIN
Last Name:TAMAYO
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 1:302 W RHAPSODY DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-3108
Mailing Address - Country:US
Mailing Address - Phone:210-521-6328
Mailing Address - Fax:210-521-6329
Practice Address - Street 1:302 W RHAPSODY DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-3108
Practice Address - Country:US
Practice Address - Phone:210-521-6328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7915207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine