Su Clinica Amiga LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

J6641 Issued in TX

Legal business name

SU CLINICA AMIGA LLC

Practice address

3169 Calle Maravillosa
Brownsville, TX 78526-1240

Phone

(832) 356-7695

NPI assigned

Mar 21, 2013

Organization subpart

No

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

Authorized official

Name

Amelia Isbell

Title

Owner

Phone

(832) 356-7695

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1619219292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3169 CALLE MARAVILLOSA",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261240",
            "telephone_number": "832-356-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3169 CALLE MARAVILLOSA",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261240",
            "telephone_number": "832-356-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SU CLINICA AMIGA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "ISBELL",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-356-7695"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "J6641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.