NPI: 1982994075 · SAN ANTONIO, TX 78258 · Pediatric Radiology Physician · NPI assigned 04/11/2011
| Authorized Official | RUIZ, MARIO (OWNER) |
| NPI Enumeration Date | 04/11/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 33 | $739.23 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 33 | 29 | $739.23 |