Organization Active NPI

Enrique Griego M.D.P.a.

Doing business as Guajira Family Clinic & Diabetes Care

  • Family Medicine Physician
  • McAllen, TX
National Provider Identifier
1407035298
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3740 Issued in TX
Legal business name
ENRIQUE GRIEGO M.D.P.A.
Doing business as
Guajira Family Clinic & Diabetes Care
Practice address
1900 S Jackson Rd Ste 9
McAllen, TX 78503-1589
Phone
(956) 687-6667
Fax
(956) 618-1075
NPI assigned
Oct 29, 2007
Last updated
Dec 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Authorized official

Name
Olga L Gonzalez
Title
Billing Office Administrator
Phone
(956) 631-4496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K3740 TX Primary

Addresses

Primary practice location

1900 S Jackson Rd Ste 9
McAllen, TX 78503-1589

Mailing address

1900 S Jackson Rd Ste 9
McAllen, TX 78503-1589
Phone (956) 687-6667

Other identifiers 1

IdentifierTypeStateIssuer
OA3510OtherTXMEDICARE PTAN

Other names 1

  • GUAJIRA FAMILY CLINIC & DIABETES CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060125000668 TX Part B Supplier - Clinic/Group Practice 5193749455 Receives reassigned benefits from 6 practitioners
Practice locations: McAllen, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0933357Guajira Family Clinic & Diabetes Care1900 S Jackson Rd Ste 9, McAllen, TX 78503ComplianceAug 1, 2025

National Provider Directory

National Provider Directory

Locations

404 S Veterans Blvd
Ste A
Edinburg, TX 78539

1900 S Jackson Rd
Ste 9
McAllen, TX 78503
Phone (956) 631-4496

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1407035298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S JACKSON RD STE 9",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031589",
            "telephone_number": "956-687-6667",
            "fax_number": "956-618-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S JACKSON RD STE 9",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031589",
            "telephone_number": "956-687-6667",
            "fax_number": "956-618-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRIQUE GRIEGO M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "956-631-4496"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "OA3510",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GUAJIRA FAMILY CLINIC & DIABETES CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.