Individual provider Active NPI

Juan Carlos Vaquerano Rais, M.D.

  • Family Medicine Physician
  • Pasadena, TX
National Provider Identifier
1578810958
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q0589 Issued in TX
Practice address
320 Southmore Ave Ste 328
Pasadena, TX 77502-1135
Phone
(346) 639-3500
Fax
(346) 237-4052
NPI assigned
Aug 5, 2012
Last updated
May 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q0589 TX Primary

Addresses

Primary practice location

320 Southmore Ave Ste 328
Pasadena, TX 77502-1135

Mailing address

211 E 7TH St Ste 700
Austin, TX 78701-3218
Phone (888) 478-8432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150528002649 TX Practitioner - Family Practice 9931429156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suvida Healthcare NphoGroup PAC ID 8325423650, 41 clinicians

Practice addresses (Care Compare)

2505 Aldine Mail Route Rd
Houston, TX 77039-5601
Phone (346) 639-3506

320 Southmore Ave
Suite 328
Pasadena, TX 77502-1135
Phone (346) 639-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q0589TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suvida Healthcare Npho CurrentSince Oct 1, 2022 Accepting new patients
Ess of South Texas LLC CurrentSince Nov 11, 2018 Accepting new patients

Locations

211 E 7th St
Ste 700
Austin, TX 78701
Phone (346) 639-3438

500 W William Cannon Dr
Ste 400
Austin, TX 78745
Phone (512) 674-0670

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

320 Southmore Ave
Pasadena, TX 77502
Phone (866) 278-8432

320 Southmore Ave
Ste 328
Pasadena, TX 77502
Phone (346) 639-3500

Interoperability endpoints

  • Direct secure messaging: juan.vaqueranorais@509680731226116.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1578810958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 7TH ST STE 700",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787013218",
            "telephone_number": "888-478-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SOUTHMORE AVE STE 328",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775021135",
            "telephone_number": "346-639-3500",
            "fax_number": "346-237-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAQUERANO RAIS",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-05",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q0589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.