Cantu Family Medical Clinic Professional Limited Liability Company

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP122465 Issued in TX

Legal business name

CANTU FAMILY MEDICAL CLINIC PROFESSIONAL LIMITED LIABILITY COMPANY

Practice address

409 W FM 495
San Juan, TX 78589-3717

Phone

(956) 787-5303

Fax

(956) 787-8117

NPI assigned

Apr 6, 2015

Organization subpart

No

Name

Dr. Roel Esteban Cantu Sr., MDNPI 1902804123

Title

Owner

Phone

(956) 787-8100

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

• Roel E Cantu, M.D.

  • Pediatrics Physician
  • San Juan, TX
  • NPI 1902804123
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 4, 2016.

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1245625201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2419",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785897419",
            "telephone_number": "956-787-5303",
            "fax_number": "956-787-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W FM 495",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893717",
            "telephone_number": "956-787-5303",
            "fax_number": "956-787-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTU FAMILY MEDICAL CLINIC PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "ROEL",
        "authorized_official_middle_name": "ESTEBAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-787-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP122465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Francisca Martinez Briones, R.PH.
• Diana Elisa Bueno
• Rosanna Buenrostor, SLP-ASSISTANT
• Building Bridges Therapy Clinic, LLC
• Luis E Calderon, CRTS
• Christopher Robert Cantu, LPC
• Roel E Cantu, M.D.
• Evelyn Jeanette Cardenas, SLP
• Connie Carlos, L.M.
• Herlinda Roseanne Casarez

• All providers in San Juan, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.