Active NPI
Pediatric Kids Clinic PLLC
- Primary Care Clinic/Center
- San Juan, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PEDIATRIC KIDS CLINIC PLLC
- Practice address
- 1200 E Business 83 Ste 1200
San Juan, TX 78589-4758 - Phone
- (956) 396-4525
- Fax
- (956) 396-4520
- NPI assigned
- Sep 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Julio Cesar Morales, FNP
- Title
- Owner
- Phone
- (956) 396-4525
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1200 E Business 83 Ste 1200
San Juan, TX 78589-4758
Mailing address
1200 E Bus 83 Ste 1200
San Juan, TX 78589-4758
Phone (956) 396-4525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871019109 | Medicaid | TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2316762 | Pediatric Kids Clinic PLLC | Registration | May 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
1200 E Business 83
Ste 1200
San Juan, TX 78589
Phone (956) 396-4525
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752710400000",
"number": "1295561447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E BUS 83 STE 1200",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "785894758",
"telephone_number": "956-396-4525",
"fax_number": "956-396-4520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E BUSINESS 83 STE 1200",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "785894758",
"telephone_number": "956-396-4525",
"fax_number": "956-396-4520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC KIDS CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-12",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A",
"authorized_official_last_name": "MORALES",
"authorized_official_first_name": "JULIO",
"authorized_official_middle_name": "CESAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "956-396-4525",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871019109",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.