Medicine Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

534465 Issued in TX

Legal business name

MEDICINE CLINIC

Practice address

9963A Alameda Ave
Socorro, TX 79927-2963

Phone

(915) 872-0477

Fax

(915) 872-0484

NPI assigned

Mar 20, 2013

Last updated

Mar 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adrian O. Ugarte, M.D.NPI 1568444768

Title

Owner/Medical Director

Phone

(915) 872-0477

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Adrian O Ugarte MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Adrian O Ugarte MD

  • Internal Medicine Physician
  • Socorro, TX
  • NPI 1235464249
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adrian O. Ugarte, M.D.

  • Internal Medicine Physician
  • Socorro, TX
  • NPI 1568444768
  NPD (past) Authorized official
• Carmen Ramirez, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Socorro, TX
  • NPI 1922081256
  NPD (past)

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1013259811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9963A ALAMEDA AVE",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "799272963",
            "telephone_number": "915-872-0477",
            "fax_number": "915-872-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9963A ALAMEDA AVE",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "799272963",
            "telephone_number": "915-872-0477",
            "fax_number": "915-872-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "UGARTE",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "915-872-0477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "534465",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J6784",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127013402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alejandro Leyva, OTR
• Elizabeth Luna-Evans
• Manuel Gonzalez (La Esperanza Personal Assistance Services)
• Rodolfo Marin, P.T.
• Stacey Marquez
• Mediflex Care, Inc
• Maria D Mendoza
• Mi Pueblo Adult Day Care Inc.
• Mission Springs Healthcare LLC (Las Ventanas de Socorro)
• North Loop Ventures Inc (North Loop Pharmacy)

• Family Nurse Practitioner in Socorro, TX
• Providers in Socorro, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.