Active NPI
Flavio Jurado, OT
- Occupational Therapist
- Edinburg, TX
National Provider Identifier
1366626145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 112304
- Practice address
- 2610 Cornerstone Blvd
Edinburg, TX 78539-9122 - Phone
- (956) 668-1818
- Fax
- (956) 668-1819
- NPI assigned
- Dec 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 112304 | TX | Primary |
Addresses
Primary practice location
2610 Cornerstone Blvd
Edinburg, TX 78539-9122
Mailing address
2108 S M St
Suite 6
McAllen, TX 78503-1555
Phone (956) 668-7433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112304 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1366626145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 S M ST",
"address_2": "SUITE 6",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785031555",
"telephone_number": "956-668-7433",
"fax_number": "956-668-7183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 CORNERSTONE BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785399122",
"telephone_number": "956-668-1818",
"fax_number": "956-668-1819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURADO",
"first_name": "FLAVIO",
"name_prefix": "Mr.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-28",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "112304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.