NPIMap

Organization Active NPI

Gustavo Buentello, M.D., F.a.a.P., P.a.

  • Pediatrics Physician
  • Weslaco, TX
National Provider Identifier
1396966271
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E1821 Issued in TX
Legal business name
GUSTAVO BUENTELLO, M.D., F.A.A.P., P.A.
Practice address
1220 E 6TH St
Weslaco, TX 78596-6420
Phone
(956) 968-9571
Fax
(956) 973-0978
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gustavo Buentello, M.D.
Title
President
Phone
(956) 968-9571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X E1821 TX Primary

Addresses

Primary practice location

1220 E 6TH St
Weslaco, TX 78596-6420

Mailing address

1220 E 6TH St
Weslaco, TX 78596-6420
Phone (956) 968-9571

Other names 1

  • BUENTELLO PEDIATRIC CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Buentello Medical and Wellness Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396966271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E 6TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966420",
            "telephone_number": "956-968-9571",
            "fax_number": "956-973-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E 6TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966420",
            "telephone_number": "956-968-9571",
            "fax_number": "956-973-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVO BUENTELLO, M.D., F.A.A.P., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUENTELLO",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-968-9571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E1821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUENTELLO PEDIATRIC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.