Organization Active NPI

Clinica Hispana San Juan

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1023822897
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLINICA HISPANA SAN JUAN
Practice address
7040 Lawndale St
Houston, TX 77023-4211
Phone
(832) 530-4188
Fax
(832) 831-2498
NPI assigned
Feb 3, 2025
Organization subpart
Yes
Parent organization
CLINICA VIDA SANAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Joseph A Montes, MD
Title
Medical Director
Phone
(832) 530-4188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7040 Lawndale St
Houston, TX 77023-4211

Mailing address

7040 Lawndale St
Houston, TX 77023-4211
Phone (832) 530-4188

Other names 1

  • CLINICA VIDA SANA Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Clinica Hispana San Juan2 organizations share this tax ID, including this one
Part of
Clinica Hispana San Juan

Other organizations with this tax ID 1

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

Locations

7040 Lawndale St
Houston, TX 77023
Phone (832) 530-4188

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1023822897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 LAWNDALE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770234211",
            "telephone_number": "832-530-4188",
            "fax_number": "832-831-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 LAWNDALE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770234211",
            "telephone_number": "832-530-4188",
            "fax_number": "832-831-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA HISPANA SAN JUAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINICA VIDA SANA",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "832-530-4188",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA VIDA SANA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.