Trinity Family Medicine Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N1488 Issued in TX

Legal business name

TRINITY FAMILY MEDICINE CLINIC LLC

Practice address

6601 Blanco Rd
Suite 100
San Antonio, TX 78216-6102

Phone

(210) 541-0018

Fax

(210) 541-0024

NPI assigned

Jun 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Juan Pena Velazquez, M.D.NPI 1396906731

Title

Provider

Phone

(210) 541-0018

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Juan P Velazquez, M.D.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1396906731
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1164658332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 BLANCO RD",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166102",
            "telephone_number": "210-541-0018",
            "fax_number": "210-541-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 BLANCO RD",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166102",
            "telephone_number": "210-541-0018",
            "fax_number": "210-541-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY FAMILY MEDICINE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "PENA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "210-541-0018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333635601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trinity Behavioral Health, PLLC (Trinity Behavioral Health)
• Trinity Care Transportation
• Trinity Caring Hands LLC
• Trinity Clinical Assocates Pain Management
• Trinity Family Medicine Clinic
• Trinity Medical Supply Inc
• Trinity Pharmacies LLC (Trinity RX)
• Trinity Provider Services
• Trinity RX No One Inc (Triad Pharmacy)
• Trinity Sleep Lab and Diagnostics,LLC

• 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 Aug 26, 2015; 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.