Organization Active NPI

Clinica Mi Salud PLLC

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1508648866
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLINICA MI SALUD PLLC
Practice address
3803 Irvington Blvd Ste B
Houston, TX 77009-4857
Phone
(713) 699-3044
Fax
(832) 834-3706
NPI assigned
Oct 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Miss Nirlian Portieles, FNPNPI 1649759580
Title
FNP
Phone
(713) 699-3044

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: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3803 Irvington Blvd Ste B
Houston, TX 77009-4857

Mailing address

3803 Irvington Blvd Ste B
Houston, TX 77009-4857
Phone (713) 699-3044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231210000016 TX Part B Supplier - Clinic/Group Practice 5890144323 Receives reassigned benefits from 1 practitioner
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
45D2292102Clinica Mi Salud3803 Irvington Blvd Suit B, Houston, TX 77009Certificate of waiverOct 18, 2027

National Provider Directory

National Provider Directory

Locations

3803 Irvington Blvd
Ste B
Houston, TX 77009
Phone (713) 699-3044

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1508648866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 IRVINGTON BLVD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770094857",
            "telephone_number": "713-699-3044",
            "fax_number": "832-834-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 IRVINGTON BLVD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770094857",
            "telephone_number": "713-699-3044",
            "fax_number": "832-834-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MI SALUD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "PORTIELES",
        "authorized_official_first_name": "NIRLIAN",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "713-699-3044",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-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 Mar 19, 2024; 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.