Active NPI
Santos Javier Aguirre, FNP
- Primary Care Nurse Practitioner
- Socorro, TX
National Provider Identifier
1174072797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 1003371
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 772597 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Socorro Medical Clinic LLC | Current | Accepting new patients | |
| Medimount Clinic PLLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.