Provider Demographics
NPI:1477598449
Name:RAYMOND RUENES MDPA
Entity Type:Organization
Organization Name:RAYMOND RUENES MDPA
Other - Org Name:MEDICAL CENTER PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:RUENES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-614-5000
Mailing Address - Street 1:2020 BABCOCK RD
Mailing Address - Street 2:SUITE 19
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4440
Mailing Address - Country:US
Mailing Address - Phone:210-614-5000
Mailing Address - Fax:
Practice Address - Street 1:2020 BABCOCK RD
Practice Address - Street 2:SUITE 19
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4440
Practice Address - Country:US
Practice Address - Phone:210-614-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty