Individual provider Active NPI

Santos Javier Aguirre, FNP

  • Primary Care Nurse Practitioner
  • Socorro, TX
National Provider Identifier
1174072797
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1003371 Issued in TX
Practice address
10720 N Loop Dr
Socorro, TX 79927-4409
Phone
(915) 858-0500
NPI assigned
Sep 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 772597 TX
Primary Care Nurse Practitioner 363LP2300X 1003371 TX Primary

Addresses

Primary practice location

10720 N Loop Dr
Socorro, TX 79927-4409

Mailing address

10720 N Loop Dr
Socorro, TX 79927-4409
Phone (915) 858-0500

Other practice location 1

4081 Tierra Bronce Dr
El Paso, TX 79938-5327
Phone (915) 615-9798

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240430001643 TX Practitioner - Nurse Practitioner 7517307101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Socorro Medical Clinic LLCGroup PAC ID 3577862093, 4 clinicians

Practice addresses (Care Compare)

7470 Cimmaron Plaza
17 300
El Paso, TX 79911
Phone (915) 249-3958

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
772597TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Socorro Medical Clinic LLC CurrentSince Apr 1, 2024 Accepting new patients
Medimount Clinic PLLC CurrentSince Apr 15, 2024 Accepting new patients

Locations

10720 N Loop Dr
Ste A6
Socorro, TX 79927
Phone (915) 858-0500

10720 N Loop Dr
Ste A
Socorro, TX 79927
Phone (915) 351-4010

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1174072797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10720 N LOOP DR",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "799274409",
            "telephone_number": "915-858-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 N LOOP DR",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "799274409",
            "telephone_number": "915-858-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4081 Tierra Bronce Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799385327",
            "country_code": "US",
            "telephone_number": "915-615-9798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUIRRE",
        "first_name": "SANTOS",
        "middle_name": "JAVIER",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-23",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "772597",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1003371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Socorro, TX

Sources for this page

Verify at the official NPI Registry.