Sagrada Familia LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SAGRADA FAMILIA LLC

Doing business as

Clinica Hispana Sagrada Familia LW

Practice address

101 E Corporate Dr Ste 140
Lewisville, TX 75067-6702

Phone

(469) 968-8031

Fax

(469) 968-8032

NPI assigned

Jun 26, 2025

Organization subpart

No

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

Authorized official

Name

Maribel Jacobo HernandezNPI 1689221822

Title

FNP

Phone

(786) 368-4327

Specialties & licenses 1

Addresses

Other names 1

• Clinica Hispana Sagrada Familia LW Doing business as

Locations

Practitioners 1

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

• Maribel Jacobo Hernandez, APRN

  • Family Nurse Practitioner
  • Homestead, FL
  • NPI 1689221822
  NPD Authorized official

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1548158686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E CORPORATE DR STE 140",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750676702",
            "telephone_number": "469-968-8031",
            "fax_number": "469-968-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E CORPORATE DR STE 140",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750676702",
            "telephone_number": "469-968-8031",
            "fax_number": "469-968-8032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1316 Sycamore School Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761344956",
            "country_code": "US",
            "telephone_number": "817-238-3191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAGRADA FAMILIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "JACOBO HERNANDEZ",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "786-368-4327"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Hispana Sagrada Familia LW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Brennan Russo, PT, DPT
• Rxmed Pharmacy PLLC (Rxmed Pharmacy)
• Bethany Rydeen
• Huma Saeed, RPH
• Simon Gabriel Safir
• Saied Hashemi OD PA., (Eye Exam Pros, The Colony)
• Hany Sakr, M.D.,PH.D.
• Tri Salihima, PHARM.D.
• Naureen Salim
• Jessa Taylor Salinas

• Family Nurse Practitioner in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.