Active NPI
Clinica Hispana Villa Salud LLC
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1497577092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CLINICA HISPANA VILLA SALUD LLC
- Practice address
- 6955 Gulf Fwy
Houston, TX 77087-2512 - Phone
- (713) 347-9750
- Fax
- (713) 424-2943
- NPI assigned
- Oct 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ernesto Ramon Bruzon Infantes, NP
- Title
- Manager
- Phone
- (786) 357-3719
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
6955 Gulf Fwy
Houston, TX 77087-2512
Mailing address
6955 Gulf Fwy
Houston, TX 77087-2512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2315211 | Clinica Hispana Villa Salud | Certificate of waiver | Dec 8, 2026 |
National Provider Directory
National Provider DirectoryLocations
6955 Gulf Fwy
Houston, TX 77087
Phone (713) 347-9750
Practitioners & affiliated clinicians
Practitioners 2
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": "1729900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740441600000",
"number": "1497577092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6955 GULF FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770872512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6955 GULF FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770872512",
"telephone_number": "713-347-9750",
"fax_number": "713-424-2943"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICA HISPANA VILLA SALUD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-26",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A",
"authorized_official_last_name": "BRUZON INFANTES",
"authorized_official_first_name": "ERNESTO",
"authorized_official_middle_name": "RAMON",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "786-357-3719",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.