Healthcare Provider Details

I. General information

NPI: 1508082504
Provider Name (Legal Business Name): CARLOS LORENZO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8435 WURZBACH RD STE 305
SAN ANTONIO TX
78229-3374
US

IV. Provider business mailing address

8300 FLOYD CURL DR FL 3
SAN ANTONIO TX
78229-3931
US

V. Phone/Fax

Practice location:
  • Phone: 210-450-9800
  • Fax:
Mailing address:
  • Phone: 210-450-9800
  • Fax: 210-450-6084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberK9602
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberK9602
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: