Su Clinica Familiar
Organization Active NPI Federally Qualified Health Center (FQHC) · Harlingen, TX
NPI 1285643304 · NPPES record last updated Apr 9, 2025
Key facts
- NPI
- 1285643304
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- SU CLINICA FAMILIAR
- Practice address
- 1706 Treasure Hills Blvd
Harlingen, TX 78550-8911 - Phone
- (956) 365-6750
- Fax
- (956) 365-6779
- NPI assigned
- Aug 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Adam Saldivar
- Title
- Cfo
- Phone
- (956) 365-6750
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 4
Practitioners 89
-
Ricardo A Alaniz, MD
-
Alejandro David Barrera, M.D.,
-
Anshu Bhatla, MD
-
Raquel Bolado, D.O.
-
Maria De Jesus Galvan, M.A., L.P.C.
-
Laura Elena Garcia, M.D.
-
Laura Irma Lozano, LPC
-
Miguel A Martinez-Vela, M.D.
-
Robert C Minor, M.D.
-
David Moron, M.D.
-
Ramiro Munoz Jr., M.D.
-
Joel J Pallapati, MD
-
Leela Pallapati, MD
-
Carlos Teodoro Ramos Jr., M.D.
-
Ruben Maria Torres Jr., M.D.
-
Jessika Vazquez, LCSW
-
Jasmine Dao, MD
-
Jose Candelario Mena, LCSW
-
Amory N Baker, D.P.M.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Su Clinica Familiar |
Federally qualified health center | Operational/Managerial Control | Jul 1, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040121001155 | TX | Part B Supplier - Clinic/Group Practice | 5496663429 |
Receives reassigned benefits from 87 practitioners Practice locations: Brownsville, TX; Harlingen, TX; Raymondville, TX; Santa Rosa, TX |
| O20220725001326 | TX | MDPP Supplier - in-Person MDPP Supplier | 5496663429 | Practice locations: Harlingen, TX |
National Provider Directory
Locations
4501 S Highway 83
Harlingen, TX 78550
Phone (956) 428-1238
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| Pharmacy | 333600000X | 4547482 | TX |
Addresses
Primary practice location
1706 Treasure Hills Blvd
Harlingen, TX 78550-8911
Mailing address
1706 Treasure Hills Blvd
Harlingen, TX 78550-8911
Phone (956) 365-6750
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019026601 | Medicaid | TX | |
| 4547482 | Other | TX | NCPDP |
Other providers in Harlingen, TX
- Stephen A Stout
- Strategic BH-Brownsville LLC
- Strategic BH-Brownsville LLC
- Auxillian Luciano Stroia
- STX Pro Rehab Chiropractic & Wellness Centers
- Su Clinica Familiar
- Su Clinica Familiar
- Su Clinica Familiar
- Su Clinica Familiar
- Su Clinica Familiar
All providers in Harlingen, TX · Federally Qualified Health Center (FQHC) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.