NPIMap

Organization Active NPI

Clinica Gloria de America

  • Family Medicine Physician
  • Spring, TX
National Provider Identifier
1376138271
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLINICA GLORIA DE AMERICA
Practice address
25188 Interstate 45 N Ste 1G
Spring, TX 77386-1453
Phone
(832) 299-6144
Fax
(832) 299-6155
NPI assigned
Mar 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Llenisset Arcia-Diaz
Title
Manager
Phone
(832) 299-6144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

25188 Interstate 45 N Ste 1G
Spring, TX 77386-1453

Mailing address

25188 Interstate 45 N Ste 1G
Spring, TX 77386-1453
Phone (832) 299-6144

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL PRACTICE_FUSION Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

25188 Interstate 45 N
Ste 1G
Spring, TX 77386
Phone (832) 299-6144

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": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1376138271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25188 INTERSTATE 45 N STE 1G",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861453",
            "telephone_number": "832-299-6144",
            "fax_number": "832-299-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25188 INTERSTATE 45 N STE 1G",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861453",
            "telephone_number": "832-299-6144",
            "fax_number": "832-299-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA GLORIA DE AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "ARCIA-DIAZ",
        "authorized_official_first_name": "LLENISSET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-299-6144"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "PRACTICE_FUSION",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25188 Interstate 45 N Ste 1G",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773861453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.