Principled Care
Concierge internal medicine in San Antonio, Texas. Direct access, unhurried visits, and rigorous adult primary care designed around judgment, continuity, and time.
Our Philosophy
The average primary care physician manages over 2,000 patients and spends about 15 minutes per visit. Sereno was built to change that. A deliberately small panel. Time to listen. Space to think.
Every clinical decision grounded in peer-reviewed research. We follow the evidence — not trends, not protocols, not industry pressure.
Same- and next-day appointments. Visits that last as long as the conversation requires. Direct physician access by phone, text, and email.
We do not mark up supplements. Your physician does not know what you pay. Every member receives the same standard of care.
Your Physician
Founder & Medical Director
Dr. Lopez trained at UT Health Houston McGovern Medical School and completed his residency at NYU School of Medicine, where he remained on faculty as an Assistant Professor of Medicine.
He returned to San Antonio to build a smaller, more deliberate internal medicine practice centered on continuity, access, and careful clinical judgment.
Membership
Your primary care is included. Non-Medicare members pay no visit fees. For Medicare members, membership covers access and clinical care is billed to Medicare.
Reach your physician directly by phone, text, or secure email. Same- or next-day appointments. After-hours access for urgent concerns.
Extended visits. Annual exams, acute care, medication management, in-office procedures, and ongoing chronic disease management.
Dr. Lopez personally manages inpatient care at Methodist Hospitals, and coordinates every specialist referral from first call to follow-up.
Pricing
Membership starts at $125 per month. The floor is deliberately low — not as a discount, but as the mechanism: members who contribute above it fund sponsored memberships for patients experiencing hardship.
Membership
$125/mo
billed monthly
Six-month initial term, then month-to-month. Full clinical care and concierge access. Contribute above the floor to fund the Sereno Sponsors Program.
Family Add-On
$50/mo
per child, ages 17 through 25
Full clinical care for children of a full-rate member. Same physician, same access.
Sponsored Membership
Pay What
You Can
funded by Sereno Sponsors
Identical clinical care. For patients experiencing hardship, assessed privately.
Inquire →
"Clinical excellence and health equity are not in tension. They are the same thing."
Sereno Sponsors Program
Some members choose to contribute above the monthly floor. Those additional funds support sponsored memberships for patients experiencing hardship. Sponsored members receive the same physician, the same access, and the same standard of care.
Common Questions
Your first visit is a comprehensive intake — not a rushed meet-and-greet. Plan for 60 to 90 minutes. Dr. Lopez reviews your full history, conducts a physical examination, and discusses your health goals.
No. This is not health insurance. Your membership covers your primary care relationship. You should maintain insurance for hospitalization, specialists, imaging, and prescriptions.
Yes. For Medicare Part B members, the membership fee covers concierge access services; clinical services are billed directly to Medicare.
Get Started
We are currently accepting a limited number of new members. Schedule a consultation to determine if Sereno Medicine is the right fit for your care.
Phone
(210) 842-6225
Fax: (855) 299-3459
Office Hours
Monday – Friday
9:00 AM – 6:00 PM
Schedule Online
Patient Portal