Optimal Lifestyle Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OPTIMAL LIFESTYLE MEDICINE PLLC

Practice address

520 E Dove Ave
McAllen, TX 78504-2241

Phone

(956) 905-0102

Fax

(956) 658-7152

NPI assigned

Dec 9, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Jose Santos Perales Jr., NPNPI 1699200337

Title

Owner

Phone

(956) 483-9942

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose S Perales Jr., APRN, FNP-BC

  • Family Nurse Practitioner
  • McAllen, TX
  • NPI 1699200337
  Medicare reassignment NPD Authorized official
• Alfredo Villarreal, RN

  • Home Health Registered Nurse
  • Roma, TX
  • NPI 1871134254
  NPD

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1083420517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E DOVE AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042241",
            "telephone_number": "956-905-0102",
            "fax_number": "956-658-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E DOVE AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042241",
            "telephone_number": "956-905-0102",
            "fax_number": "956-658-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL LIFESTYLE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "PERALES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "SANTOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-483-9942",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Only Love Pediatric Day Health Center
• Ontiveros Diaz Inc
• Reetha Oommen, PHARMD
• Optical Expressions
• Optimum Therapy LTD
• Optimum Therapy, LTD
• Jamie Lynn Ordaz, RN
• Jorge Mario Ordonez, M.D.
• Sandra Ordonez

• Family Medicine Physician in McAllen, TX
• Providers in McAllen, 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 Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.