Jose Victor Iglesias, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

E1343 Issued in TX

Practice address

17203 Red Oak Dr Ste 202
Houston, TX 77090-2613

Phone

(281) 444-9400

Fax

(281) 444-1254

NPI assigned

Nov 17, 2005

Last updated

Feb 9, 2010By the provider in NPPES

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

Other names 1

• Mrs. Sara Dib Iglesias Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Jose V. Iglesias MD PA

  • Specialist
  • Houston, TX
  • NPI 1376873885
  Authorized official Same address or phone
• Skilled Facility Health Care Solutions Inc

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1104018423
  NPD

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1427030196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17203 RED OAK DR STE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902613",
            "telephone_number": "281-444-9400",
            "fax_number": "281-444-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17203 RED OAK DR STE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902613",
            "telephone_number": "281-444-9400",
            "fax_number": "281-444-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLESIAS",
        "first_name": "JOSE",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "E1343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099690201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "IGLESIAS",
            "middle_name": "DIB",
            "prefix": "MRS.",
            "credential": "CMOM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Onoriode Pauline Ighofose, MD
• Angelia Gail Iglehart
• Elena Iglehart, MD
• Sharon Lynette Iglehart, M.D.
• Catherine Alexandra Iglesias
• Joseph Iglesias
• Craig S Ignacio, M.D.
• Jerry Joseph Ignatius, D.O.
• Ignite Medical Resort West Houston LLC (Ignite Medical Resort Laural Parke)
• Lance Allen Iguess, D.C.

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.