MEDICARE: JOSEPH ANDREW MAROTTA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	J8310	TX

General Provider Information

NPI Number	:	1750332656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH ANDREW MAROTTA M.D.

Provider Business Mailing Address
First Line	:	1200 BROOKLYN AVE STE 170
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-4810
Country	:	US
Telephone Number	:	210-475-9209
Fax Number	:	210-475-9500

Provider Business Practice Location Address
First Line	:	1200 BROOKLYN AVE STE 170
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-4810
Country	:	US
Telephone Number	:	210-475-0605
Fax Number	:	210-475-9500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	01/23/2026

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