Organization Active NPI

Clinica Hispana Villa Salud LLC

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1497577092
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Ernesto Ramon Bruzon Infantes, NPNPI 1043055759
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20250205001550 TX Part B Supplier - Clinic/Group Practice 7012447162 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2315211Clinica Hispana Villa Salud6955 Gulf Fwy, Houston, TX 77087Certificate of waiverDec 8, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.