Jose Guadalupe Trevino II, MA, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

100868 Issued in TX

Practice address

512 Santa Anna St
Weslaco, TX 78596-4318

Phone

(956) 376-7426

NPI assigned

Jul 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• River Health Care LLC

  • Rehabilitation Clinic/Center
  • Mercedes, TX
  • NPI 1790845915
  NPD (past)

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1366640682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 SANTA ANNA ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964318",
            "telephone_number": "956-376-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 SANTA ANNA ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964318",
            "telephone_number": "956-376-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "JOSE",
        "middle_name": "GUADALUPE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MA, CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-09",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1889818-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travelers Home Health, LLC
• Tree of Life Healing Centre LLC
• Antonio Trevino, PTA
• Cassandra M Trevino, PA-C
• Eduardo C Trevino, LPC
• Triumph Therapy PLLC
• Rachel Tsai, PA-C
• Tu Vida Medical Transport , Inc.
• U.K.Pathak M.D., PA
• Eucharia Uche

• Speech-Language Pathologist in Weslaco, TX
• Providers in Weslaco, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.