Clinica Medica Salve, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLINICA MEDICA SALVE, LLC

Practice address

217 W Main St. Ste 110
Grand Prairie, TX 75050-5648

Phone

(214) 235-0607

Fax

(972) 329-7005

NPI assigned

Feb 11, 2022

Last updated

Mar 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Espiridion Mendez, D.ONPI 1013103209

Title

Dir

Phone

(214) 255-0607

Specialties & licenses 3

Addresses

Other names 1

• Clinica Medica Salve PLLC Former legal business name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Espiridion Rey Mendez, DO

  • General Practice Physician
  • Grand Prairie, TX
  • NPI 1013103209
  NPD (past) Authorized official
• Monica Tovar Herrera, PA-C

  • Physician Assistant
  • Grand Prairie, TX
  • NPI 1063441715
  NPD (past)

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1508510140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W MAIN ST. STE 110",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505648",
            "telephone_number": "214-235-0607",
            "fax_number": "972-329-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W MAIN ST. STE 110",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505648",
            "telephone_number": "214-235-0607",
            "fax_number": "972-329-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MEDICA SALVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "ESPIRIDION",
        "authorized_official_title_or_position": "DIR",
        "authorized_official_telephone_number": "214-255-0607",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Medica Salve PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Clinica Medica Salve PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Family Medicine Physician in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.