Isla Primary

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ISLA PRIMARY

Practice address

1837 Oklahoma Ave
Port Isabel, TX 78578-4611

Phone

(956) 592-4514

NPI assigned

Jun 6, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert Salinas

Title

Owner

Phone

(956) 592-4514

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1003177908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 OKLAHOMA AVE",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785784611",
            "telephone_number": "956-592-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 OKLAHOMA AVE",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785784611",
            "telephone_number": "956-592-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLA PRIMARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "SALINAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-592-4514",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.