Jose Eligio Juarez

Primary specialty

Social WorkerTaxonomy code 104100000X

License

30407 Issued in TX

Practice address

3521 W Freddy Gonzalez Dr Ste a-3
Edinburg, TX 78539-8391

Phone

(956) 624-7476

Fax

(956) 928-9599

NPI assigned

Sep 11, 2017

Last updated

Sep 11, 2017By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1457870404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3382",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785403382",
            "telephone_number": "956-624-7476",
            "fax_number": "956-928-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 W FREDDY GONZALEZ DR STE A-3",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398391",
            "telephone_number": "956-624-7476",
            "fax_number": "956-928-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "JOSE",
        "middle_name": "ELIGIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "30407",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "30407",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Zamora MD PA
• Athira Molly Jose
• Joy and Pride Adult Daycare Center, Inc. (Pride and Joy Adult Daycare Center)
• Juan Joya Gomez, APRN
• Blanca Leticia Juarez, LVN
• Luis Carlos Juarez Jr., PA, DC
• Ricardo Juarez Jr., PHARMD
• Julio C de la Fuente DDS PA
• Flavio Jurado, OT
• Jack Kalloch, DMD

• Social Worker in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.