Banuelos Family Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME97139 Issued in FL

Legal business name

BANUELOS FAMILY CLINIC

Practice address

945 W Michigan Ave Ste 10C
Pensacola, FL 32505-2346

Phone

(850) 490-6727

NPI assigned

Apr 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Elias I Banuelos, M.D.

Title

President

Phone

(850) 490-6727

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1487074167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 W MICHIGAN AVE STE 10C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052346",
            "telephone_number": "850-490-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 W MICHIGAN AVE STE 10C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052346",
            "telephone_number": "850-490-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANUELOS FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "BANUELOS",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-490-6727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME97139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cordarian Banks
• Emilia Banse, PMHNP-BC
• Hannah Michelle Banther, RBT
• Cynthia Bantista, APN
• Patrick Bantugan
• Banuelos Medical Clinic PLLC
• Baptist Health Care - Navy Resource Sharing
• Baptist Health Care Corporation
• Baptist Health Care Inc
• Baptist Health Care Inc

• Family Medicine Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.