Provider Demographics
NPI:1235568262
Name:VIVIR WITH SALUD, PLLC
Entity Type:Organization
Organization Name:VIVIR WITH SALUD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:DOLORES
Authorized Official - Last Name:CHAPA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-471-9314
Mailing Address - Street 1:8006 WEST AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1871
Mailing Address - Country:US
Mailing Address - Phone:210-340-0801
Mailing Address - Fax:210-340-0803
Practice Address - Street 1:8006 WEST AVE STE 1
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1871
Practice Address - Country:US
Practice Address - Phone:210-340-0801
Practice Address - Fax:210-340-0803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-12
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5096261QC1500X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1235568262OtherNPI
1235568262OtherNPI