Provider Demographics
NPI:1891732368
Name:BELVIS, ERLINDA E (MD)
Entity Type:Individual
Prefix:DR
First Name:ERLINDA
Middle Name:E
Last Name:BELVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 W HOUSTON
Mailing Address - Street 2:#503
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205
Mailing Address - Country:US
Mailing Address - Phone:210-225-4251
Mailing Address - Fax:210-225-4254
Practice Address - Street 1:343 W HOUSTON
Practice Address - Street 2:#503
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205
Practice Address - Country:US
Practice Address - Phone:210-225-4251
Practice Address - Fax:210-225-4254
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE38532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00195UOtherTELECARE GROUP #
TX115900602Medicaid
TX8C6526Medicare ID - Type UnspecifiedMEDICARE NO
TXB21187Medicare UPIN
TX00RT15Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER