Gustavo Buentello MD F. a. a. P., PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

E1821 Issued in TX

Legal business name

GUSTAVO BUENTELLO MD F. A. A. P., PA

Practice address

801 E Nolana Ave
Suite 17
McAllen, TX 78504-6104

Phone

(956) 630-1616

Fax

(956) 630-4733

NPI assigned

Sep 30, 2009

Organization subpart

No

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

Authorized official

Name

Luis Buentello, DCNPI 1083738231

Title

Administrator

Phone

(956) 630-1616

Specialties & licenses 1

Addresses

Other names 1

• BUENTELLO MEDICAL AND WELLNESS CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Buentello Medical and Wellness Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Gustavo Buentello, M.D., F.a.a.P., P.a.

  • Pediatrics Physician
  • Weslaco, TX
  • NPI 1396966271
  NPD tax ID
• Gustavo Buentello, MD Faap PA

  • Pediatrics Physician
  • Weslaco, TX
  • NPI 1205041464
  NPD tax ID

Locations

Practitioners 3

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

• Luis D Buentello, DC

  • Family Nurse Practitioner
  • McAllen, TX
  • NPI 1083738231
  Medicare reassignment Authorized official
• Socrates A Garrigos, MD

  • Internal Medicine Physician
  • McAllen, TX
  • NPI 1821052499
  Medicare reassignment NPD
• Gustavo Buentello, MD

  • General Practice Physician
  • McAllen, TX
  • NPI 1508951682
  Medicare reassignment

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1497089031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E NOLANA AVE",
            "address_2": "SUITE 17",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046104",
            "telephone_number": "956-630-1616",
            "fax_number": "956-630-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E NOLANA AVE",
            "address_2": "SUITE 17",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046104",
            "telephone_number": "956-630-1616",
            "fax_number": "956-630-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVO BUENTELLO MD F. A. A. P., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "BUENTELLO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-630-1616",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "E1821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUENTELLO MEDICAL AND WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gulf Coast Pathology Program PLLC
• Gary W Gulley, PHYSICIAN ASSISTANT
• Zain Gulzar, M.D.
• Irwan K Gunadi, MD
• Stephanie Aftergut Gurwitz, M.S. CCC-SLP
• Gustavo C Licea Mdpa
• Abraham Gutierrez Sauceda, MD
• Silvia Gutierrez-Leal, CRC, LPC
• Amy Lynn Gutierrez, MS, CCC-SLP
• David Gutierrez, F.N.P-B.C

• General Practice Physician in McAllen, TX
• Providers in McAllen, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.