Judith Perez, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · La Joya, TX
NPI 1306123997 · NPPES record last updated Mar 24, 2017
Key facts
- NPI
- 1306123997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 713494 (TX)
- Practice address
- 1000 E Expressway 83
Suite 4
La Joya, TX 78560-8301 - Phone
- (956) 585-1688
- Fax
- (956) 585-8008
- NPI assigned
- Nov 9, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120203000508 | TX | Practitioner - Nurse Practitioner | 6002073988 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 713494 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Javier a Saenz MD PA | Current |
Accepting new patients |
Locations
1000 E Expressway 83
Ste 4
La Joya, TX 78560
Phone (956) 585-1688
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 713494 | TX | Yes |
Addresses
Primary practice location
1000 E Expressway 83
Suite 4
La Joya, TX 78560-8301
Mailing address
PO Box 1380
La Joya, TX 78560-1380
Phone (956) 585-1688
Other providers in La Joya, TX
- Sandy Olivarez
- Patricia Oviedo-Gracia
- Doris Padilla
- Emmanuel Pantoja
- Elva Perez
- Reach Out Therapy Home Health
- Reflections of Hope Counseling Services, Inc.
- Regional DME LLC
- Sofia Reyes
- Ann Marie Reza
All providers in La Joya, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2017. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.