San Juan Family Primary Care Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAN JUAN FAMILY PRIMARY CARE CLINIC

Practice address

417 W FM 495
San Juan, TX 78589-3717

Phone

(956) 783-7088

NPI assigned

Jun 22, 2022

Organization subpart

No

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

Authorized official

Name

Mario Aguilar, MD

Title

Director

Phone

(917) 733-2815

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mario Luis Vasquez Aguilar

  • Family Medicine Physician
  • Rio Grande City, TX
  • NPI 1275846156
  NPD

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1619608338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6208",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785026208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W FM 495",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893717",
            "telephone_number": "956-783-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN FAMILY PRIMARY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-733-2815",
        "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": []
}

• Sigifredo Salinas
• Susan Salinas, OTR
• Yuliana Salinas, CNP
• Ernesto Salomon
• San Juan DME
• San Juan Life Skills Rehab @ Home, LLC
• San Juan Nursing Home, Inc.
• David John Secord, DPM
• Maleny Serna, LPC
• Perla Sierra

• Family Medicine Physician in San Juan, TX
• Providers in San Juan, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.