Active NPI
Connie Carlos, L.M.
- Midwife
- San Juan, TX
National Provider Identifier
1598065955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 96120
- Practice address
- 200 W Expressway 83
Ste. B
San Juan, TX 78589-3641 - Phone
- (956) 781-5415
- Fax
- (956) 781-5415
- NPI assigned
- Nov 1, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | 96120 | TX | Primary |
Addresses
Primary practice location
200 W Expressway 83
Ste. B
San Juan, TX 78589-3641
Mailing address
200 W Expressway 83
Ste. B
San Juan, TX 78589-3641
Phone (956) 781-5415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96120 | TX | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1598065955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W EXPRESSWAY 83",
"address_2": "STE. B",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "785893641",
"telephone_number": "956-781-5415",
"fax_number": "956-781-5415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W EXPRESSWAY 83",
"address_2": "STE. B",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "785893641",
"telephone_number": "956-781-5415",
"fax_number": "956-781-5415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLOS",
"first_name": "CONNIE",
"credential": "L.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-01",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "TX",
"license": "96120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, TX
- Luis E Calderon, CRTS
- Cantu Family Medical Clinic Professional Limited Liability Company
- Christopher Robert Cantu, LPC
- Roel E Cantu, M.D.
- Evelyn Jeanette Cardenas, SLP
- Herlinda Roseanne Casarez
- Migdalia Cerda
- Certus Transportation Group LLC
- Cesar Chavez Family Dentistry, PLLC
- Elizabeth Chavez-Palacios, L.P.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.