Individual provider Active NPI

Juan Carlos Israel Hernandez Garcia, M.D.

  • Family Medicine Physician
  • Horizon City, TX
National Provider Identifier
1598053423
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q1165 Issued in TX
Practice address
13650 Eastlake Blvd Ste a-104
Horizon City, TX 79928-7473
Phone
(915) 260-8013
Fax
(915) 213-0628
NPI assigned
Jul 12, 2011
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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 Q1165 TX Primary

Addresses

Primary practice location

13650 Eastlake Blvd Ste a-104
Horizon City, TX 79928-7473

Mailing address

13650 Eastlake Blvd Ste a-104
Horizon City, TX 79928-7473
Phone (915) 216-6182

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
I20150623002158 TX Practitioner - Family Practice 0648581207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13650 Eastlake Blvd
Suite a 104
Horizon City, TX 79928-7473
Phone (915) 260-8013

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medico Healthcare, PLLC Family Medicine CurrentSince Mar 1, 2023 Accepting new patients

Locations

13650 Eastlake Blvd
Ste A104
Horizon City, TX 79928
Phone (915) 260-8013

Interoperability endpoints

  • Direct secure messaging: juan.hernandez@sanvicente.directbygreenway.com

Organizations & group practices 1

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1598053423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13650 EASTLAKE BLVD STE A-104",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799287473",
            "telephone_number": "915-216-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13650 EASTLAKE BLVD STE A-104",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799287473",
            "telephone_number": "915-260-8013",
            "fax_number": "915-213-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ GARCIA",
        "first_name": "JUAN CARLOS",
        "middle_name": "ISRAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q1165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horizon City, TX

Sources for this page

Verify at the official NPI Registry.