Active NPI
Juan Jose Mancillas, M.D.
- Obstetrics & Gynecology Physician
- Brownsville, TX
National Provider Identifier
1457367393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- H5921
- Practice address
- 844 Central Blvd Ste 470
Brownsville, TX 78520-7512 - Phone
- (956) 546-0369
- Fax
- (956) 548-1879
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | H5921 | TX | Primary |
Addresses
Primary practice location
844 Central Blvd Ste 470
Brownsville, TX 78520-7512
Mailing address
844 Central Blvd Ste 470
Brownsville, TX 78520-7512
Phone (956) 546-0369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H5921 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brownsville Women's Health Center, PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Claudia P. Garcia, M.D. | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Brownsville, TX
- NPI 1518815620
-
- Obstetrics & Gynecology Physician
- Brownsville, TX
- NPI 1356521397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1457367393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "844 CENTRAL BLVD STE 470",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785207512",
"telephone_number": "956-546-0369",
"fax_number": "956-548-1879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "844 CENTRAL BLVD STE 470",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785207512",
"telephone_number": "956-546-0369",
"fax_number": "956-548-1879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCILLAS",
"first_name": "JUAN",
"middle_name": "JOSE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "H5921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.