Individual provider Active NPI

Juan Alonso Hernandez, PA

  • Physician Assistant
  • Brownsville, TX
National Provider Identifier
1225617558
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14496 Issued in TX
Practice address
2534 Boca Chica Blvd
Brownsville, TX 78521-3496
Phone
(956) 546-2000
Fax
(956) 546-2001
NPI assigned
Apr 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14496 TX Primary

Addresses

Primary practice location

2534 Boca Chica Blvd
Brownsville, TX 78521-3496

Mailing address

2534 Boca Chica Blvd
Brownsville, TX 78521-3496
Phone (956) 546-2000

Other practice location 1

101 E Expressway 83 Ste 170
McAllen, TX 78501-1166
Phone (956) 731-6699

Other practice location 2

800 E Alton Gloor Blvd
Brownsville, TX 78526-4248
Phone (956) 518-7444

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
I20210611001684 TX Practitioner - Physician Assistant 5496155442 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA14496TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Normandy Urgent Care Center PA Past Accepting new patients

Organizations & group practices 4

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": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1225617558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 BOCA CHICA BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213496",
            "telephone_number": "956-546-2000",
            "fax_number": "956-546-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 BOCA CHICA BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213496",
            "telephone_number": "956-546-2000",
            "fax_number": "956-546-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Expressway 83 Ste 170",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785011166",
            "country_code": "US",
            "telephone_number": "956-731-6699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Alton Gloor Blvd",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785264248",
            "country_code": "US",
            "telephone_number": "956-518-7444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JUAN",
        "middle_name": "ALONSO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.