Psja Family Clinic, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

L1856 Issued in TX

Legal business name

PSJA FAMILY CLINIC, LLC

Practice address

1536 S Cage Blvd Ste 5
Pharr, TX 78577-6349

Phone

(956) 781-8396

Fax

(956) 781-8398

NPI assigned

Jun 11, 2015

Organization subpart

No

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

Authorized official

Name

Oralia A Martinez, FNPNPI 1730463381

Title

Owner

Phone

(956) 781-8396

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oralia A Martinez, FNP

  • Family Nurse Practitioner
  • Pharr, TX
  • NPI 1730463381
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1447631841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 S CAGE BLVD STE 5",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785776349",
            "telephone_number": "956-781-8396",
            "fax_number": "956-781-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 S CAGE BLVD STE 5",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785776349",
            "telephone_number": "956-781-8396",
            "fax_number": "956-781-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSJA FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ORALIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-781-8396",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "L1856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350837601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Progressive Skilled Home Health Services LLC
• Pronto Medical Supply (Apple Medical Supply)
• Belinda Pruneda, LPC
• Mike Angel Pruneda Sr.
• Oliverio Rene Pruneda, PTA
• Sandra Puente-Gonzalez, LPC
• Patricia Puente, M.S., CCC-SLP
• Pura Vida Counseling Services PLLC
• Push Therapy LLC
• Nicholas Quach, DDS

• Family Nurse Practitioner in Pharr, TX
• Providers in Pharr, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.