NPIMap

Organization Active NPI

Luz de Vida PHC

  • Personal Care Attendant
  • Brownsville, TX
National Provider Identifier
1619628443
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
LUZ DE VIDA PHC
Practice address
2776 W Alton Gloor Blvd Ste 3
Brownsville, TX 78520-4025
Phone
(956) 801-2065
Fax
(956) 435-9253
NPI assigned
Jan 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Ariana QuirogaNPI 1871087775
Title
Owner
Phone
(956) 371-9672

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
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

2776 W Alton Gloor Blvd Ste 3
Brownsville, TX 78520-4025

Mailing address

2776 W Alton Gloor Blvd Ste 3
Brownsville, TX 78520-4025
Phone (956) 371-9672

National Provider Directory

National Provider Directory

Locations

2776 W Alton Gloor Blvd
Ste 3
Brownsville, TX 78520
Phone (956) 371-9672

Practitioners & affiliated clinicians

Practitioners 1

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": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1619628443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2776 W ALTON GLOOR BLVD STE 3",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785204025",
            "telephone_number": "956-371-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 W ALTON GLOOR BLVD STE 3",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785204025",
            "telephone_number": "956-801-2065",
            "fax_number": "956-435-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZ DE VIDA PHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "QUIROGA",
        "authorized_official_first_name": "ARIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-371-9672"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.