Mario R Juarez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F-0534 Issued in TX

Practice address

4151 Callaghan Rd
102
San Antonio, TX 78228-3419

Phone

(210) 681-6380

Fax

(210) 521-6200

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Texas Southwestern Medical School at Dallas, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Juarez & Juarez Family Medical Clinic, Inc.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1669702940
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073523866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 CALLAGHAN RD",
            "address_2": "102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782283419",
            "telephone_number": "210-681-6380",
            "fax_number": "210-521-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 CALLAGHAN RD",
            "address_2": "102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782283419",
            "telephone_number": "210-681-6380",
            "fax_number": "210-521-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "MARIO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F-0534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1102709-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ida Juarez, MD
• Jennifer Madalene Juarez, RNFA
• Jocelyn Juarez, M.D.
• Jorge Juarez, RN
• Karen Juarez, LPC - ASSOCIATE
• Mark Juarez
• Michelle Leigh Juarez, R.N., B.S.N., A.A.S.
• Phillip Juarez, M.D.
• Ramon J Juarez, LMSW
• Serenity Mariela Juarez

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.