Jordan Del Bosque

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4234 Weber Rd
Corpus Christi, TX 78411-3603

Phone

(210) 447-0039

NPI assigned

Oct 1, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1013735877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 W IH 10 STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782012013",
            "telephone_number": "210-447-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 WEBER RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784113603",
            "telephone_number": "210-447-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL BOSQUE",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Hope Defratus
• Dirk Dehaan, CRNA
• Monica Monae Deitz, FNP
• Lisa Ann Dejesus, PMHNP-BC
• Cesar Del Angel
• Michelle Lee Del Bosque, PHARMD
• Roberto Raul Del Cristo, M.D
• Sarah Lyndsey Del Toro, SLP
• Apolonio Delacruz III
• Armando Delagarza, NP

• All providers in Corpus Christi, TX
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.