Individual provider Active NPI

Mickey Gene Juarez

  • Health Information Technician
  • New Braunfels, TX
National Provider Identifier
1053829994
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Information TechnicianTaxonomy code 247000000X
Practice address
3006 Shale CV
New Braunfels, TX 78130-4193
Phone
(830) 822-2623
NPI assigned
Jan 12, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Information TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247000000X Primary

Addresses

Primary practice location

3006 Shale CV
New Braunfels, TX 78130-4193

Mailing address

3006 Shale CV
New Braunfels, TX 78130-4193
Phone (830) 822-2623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1053829994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 SHALE CV",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304193",
            "telephone_number": "830-822-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 SHALE CV",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304193",
            "telephone_number": "830-822-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "MICKEY",
        "middle_name": "GENE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Health Information",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.