MEDICARE: DR. GRACIELA PEREZ-MILICUA PT, DPT

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	225100000X	Physical Therapist	1201376	TX

General Provider Information

NPI Number	:	1942160015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRACIELA PEREZ-MILICUA PT, DPT

Provider Business Mailing Address
First Line	:	18835 CALLE CIERRA
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4032
Country	:	US
Telephone Number	:	210-788-4086
Fax Number	:

Provider Business Practice Location Address
First Line	:	2804 THOUSAND OAKS DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-4108
Country	:	US
Telephone Number	:	210-788-4086
Fax Number	:

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

Provider Enumeration Date	:	11/12/2025
Last Update Date	:	11/18/2025

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