Clinica Guadalupe Grand Plaza,LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLINICA GUADALUPE GRAND PLAZA,LLC

Practice address

4200 South Fwy Ste 15
Fort Worth, TX 76115-1423

Phone

(469) 931-2538

NPI assigned

Apr 14, 2023

Organization subpart

No

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

Authorized official

Name

Cindy Olalde

Title

Officer

Phone

(214) 240-1506

Specialties & licenses 1

Addresses

Practitioners 5

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

• Frank Alvarez Llambias, APRN-CNP

  • Family Nurse Practitioner
  • Allen, TX
  • NPI 1972219079
  NPD (past)
• Yennier Peillon Gamboa, DNP, APRN, NP-C

  • Primary Care Nurse Practitioner
  • Garland, TX
  • NPI 1356961122
  NPD (past)
• Leeor B. Peleg, D.O.

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1508954744
  NPD (past)
• Iliuva Ramirez Martinez, APRN-CNP

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1851161806
  NPD (past)
• Lizandra Rosales, APRN, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1265904866
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1316633043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14951 DALLAS PKWY STE 190",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752546894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SOUTH FWY STE 15",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151423",
            "telephone_number": "469-931-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA GUADALUPE GRAND PLAZA,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "OLALDE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "214-240-1506"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner Len Climer
• Emily Mooney Cline, CNM
• Natasha Avonne Cline
• Clinic 21 of Ft. Worth, LLC
• Clinica Familiar Las Americas FW Inc
• Clinica HF Fort Worth LLC
• Clinica Hispana del Metroplex LLC
• Clinica Hispana San Sebastian
• Clinical Care in Radiology
• Clinical Nephrology Assoc

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.