Active NPI
Juan Carlos Israel Hernandez Garcia, M.D.
- Family Medicine Physician
- Horizon City, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q1165
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medico Healthcare, PLLC | Family Medicine | Current | Accepting new patients |
Locations
13650 Eastlake Blvd
Ste A104
Horizon City, TX 79928
Phone (915) 260-8013
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Horizon City, TX
- NPI 1104529320
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.