Organization Active NPI

Wellness Family Clinic PLLC

  • Family Medicine Physician
  • Edinburg, TX
National Provider Identifier
1598410045
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WELLNESS FAMILY CLINIC PLLC
Practice address
3516 W Alberta Rd
Edinburg, TX 78539-8466
Phone
(956) 803-0121
NPI assigned
Feb 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Dr. Carlos I Moreno, MDNPI 1306828280
Title
Director
Phone
(956) 803-0121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3516 W Alberta Rd
Edinburg, TX 78539-8466

Mailing address

3516 W Alberta Rd
Edinburg, TX 78539-8466
Phone (956) 803-0121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220412002352 TX Part B Supplier - Clinic/Group Practice 0840686242 Receives reassigned benefits from 5 practitioners
Practice locations: Edinburg, TX; Alamo, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2253744Wellness Family Clinic PLLC3516 W Alberta Road, Edinburg, TX 78539Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory

Locations

809 Main St
Ste 2
Alamo, TX 78516
Phone (956) 223-4913

3521 W Alberta Rd
Edinburg, TX 78539
Phone (956) 618-4653

3516 W Alberta Rd
Edinburg, TX 78539
Phone (956) 801-0121

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1598410045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 W ALBERTA RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398466",
            "telephone_number": "956-803-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 W ALBERTA RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398466",
            "telephone_number": "956-803-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS FAMILY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "956-803-0121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.