Primary Care Group at Renaissance

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PRIMARY CARE GROUP AT RENAISSANCE

Practice address

5501 S McColl Rd
Edinburg, TX 78539-5503

Phone

(956) 362-2171

Fax

(956) 362-2132

NPI assigned

Apr 24, 2017

Last updated

Apr 24, 2017By 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

Mrs. Susan Turley, CPA

Title

Cfo

Phone

(956) 362-7469

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Martin Vicente Hernandez, FNP

  • Family Nurse Practitioner
  • McAllen, TX
  • NPI 1013579648

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1073048435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3724",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785023724",
            "telephone_number": "956-362-2171",
            "fax_number": "956-362-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395503",
            "telephone_number": "956-362-2171",
            "fax_number": "956-362-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE GROUP AT RENAISSANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "TURLEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "956-362-7469",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Texas Kidney Care PLLC
• Premier Valley Health, PLLC
• Premier Wellness Center PLLC
• Prestige Provider Services Inc (Prestige Health Services)
• Prestigious Primary Home Care LLC
• Primary Therapy Specialists LLC
• Primecare Family Medicine and Wellness Center PLLC (PrimeMed Care)
• Primemed Wound Clinic PLLC
• Dustin B Prins, D.P.M.
• Procare Health Services Inc

• Multi-Specialty Clinic/Center in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.