Healthcare Provider Details

I. General information

NPI: 1992115752
Provider Name (Legal Business Name): ANA MARIA ESCOBAR-BOTERO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANA MARIA BOTERO QUINTERO MD

II. Dates (important events)

Enumeration Date: 05/02/2014
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10526 CAMPO VIEJO
BOERNE TX
78006-8542
US

IV. Provider business mailing address

10526 CAMPO VIEJO
BOERNE TX
78006-8542
US

V. Phone/Fax

Practice location:
  • Phone: 786-300-5862
  • Fax:
Mailing address:
  • Phone: 786-300-5862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2920121
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberS6173
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: