Organization Active NPI

Stroman & Gutierrez Family Practice Clinic and Med Spa, PLLC

  • Family Medicine Physician
  • Weslaco, TX
National Provider Identifier
1457741936
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M9035 Issued in TX
Legal business name
STROMAN & GUTIERREZ FAMILY PRACTICE CLINIC AND MED SPA, PLLC
Practice address
909 James St
Suite C
Weslaco, TX 78596-4209
Phone
(956) 351-5330
Fax
(956) 375-2724
NPI assigned
Feb 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Authorized official

Name
Pamela Ramirez Stroman, MD
Title
President
Phone
(956) 351-5330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X M9035 TX Primary

Addresses

Primary practice location

909 James St
Suite C
Weslaco, TX 78596-4209

Mailing address

909 James St
Suite C
Weslaco, TX 78596-4209
Phone (956) 351-5330

Other identifiers 2

IdentifierTypeStateIssuer
M9035OtherTXMEDICAL LIC NO.
1669630752OtherTXINDIVIDUAL NPI

Other names 1

  • Stroman & Gutierrez Family Practice Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150325000966 TX Part B Supplier - Clinic/Group Practice 9739406091 Receives reassigned benefits from 3 practitioners
Practice locations: Weslaco, TX

National Provider Directory

National Provider Directory

Locations

909 James St
Ste C
Weslaco, TX 78596
Phone (956) 351-5330

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1457741936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 JAMES ST",
            "address_2": "SUITE C",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964209",
            "telephone_number": "956-351-5330",
            "fax_number": "956-375-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 JAMES ST",
            "address_2": "SUITE C",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964209",
            "telephone_number": "956-351-5330",
            "fax_number": "956-375-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STROMAN & GUTIERREZ FAMILY PRACTICE CLINIC AND MED SPA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "STROMAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "RAMIREZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-351-5330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M9035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC NO.",
            "identifier": "M9035",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1669630752",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stroman & Gutierrez Family Practice 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 Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.