Individual provider Active NPI

Santiago Tzuc, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1609266733
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126918 Issued in TX
Practice address
2812 Bluebird Ave
McAllen, TX 78504-4778
Phone
(956) 821-8063
NPI assigned
Jan 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP126918 TX Primary

Addresses

Primary practice location

2812 Bluebird Ave
McAllen, TX 78504-4778

Mailing address

2812 Bluebird Ave
McAllen, TX 78504-4778
Phone (956) 821-8063

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211117000567 TX Practitioner - Nurse Practitioner 0648669432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donna Medical Clinic, PLLCGroup PAC ID 1153216734, 35 clinicians

Practice addresses (Care Compare)

646 S Expressway
77 Valley Family Clinic
Raymondville, TX 78580-4239
Phone (956) 690-4012

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP126918TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Donna Medical Clinic, PLLC CurrentSince Nov 9, 2021 Accepting new patients

Locations

307 N Salinas Blvd
Donna, TX 78537
Phone (956) 464-2402

2010 E Business Highway 83
Donna, TX 78537
Phone (956) 461-6666

646 S Expressway 77
Raymondville, TX 78580
Phone (956) 690-4012

909 S Airport Dr
Weslaco, TX 78596
Phone (956) 968-0560

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1609266733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 BLUEBIRD AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044778",
            "telephone_number": "956-821-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 BLUEBIRD AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044778",
            "telephone_number": "956-821-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TZUC",
        "first_name": "SANTIAGO",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.