MEDICARE: DR. RENATO SARREAL JR. 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	207L00000X	Anesthesiology Physician	M0557	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750364600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RENATO SARREAL JR. M.D.

Provider Business Mailing Address
First Line	:	25500 TWO CREEKS APT 1203
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78255-2501
Country	:	US
Telephone Number	:	210-845-8949
Fax Number	:

Provider Business Practice Location Address
First Line	:	25500 TWO CREEKS
Second Line	:	APT 1203
City	:	SAN ANTONIO
State	:	TX
Zip	:	78255-2501
Country	:	US
Telephone Number	:	972-715-5000
Fax Number	:	972-715-9976

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

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	08/16/2022

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