Healthcare Provider Details

I. General information

NPI: 1912433103
Provider Name (Legal Business Name): LIWAYWAY REMEGIAS ANDRADE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2017
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
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

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

V. Phone/Fax

Practice location:
  • Phone: 210-450-9800
  • Fax: 210-450-4935
Mailing address:
  • Phone: 210-450-9800
  • Fax: 210-450-4935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberS6999
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberA195812
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberS6999
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberS6999
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA195812
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: