NPIMap

Organization Active NPI

Eduardo Guzman MD PA

  • General Practice Physician
  • Penitas, TX
National Provider Identifier
1649401951
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
M2631 Issued in TX
Legal business name
EDUARDO GUZMAN MD PA
Practice address
2308 Hwy 83 Ste F
Penitas, TX 78576-8399
Phone
(956) 519-9100
Fax
(956) 519-9900
NPI assigned
Aug 4, 2009
Last updated
Aug 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Eduardo Guzman, MD PANPI 1295780005
Title
Owner
Phone
(956) 519-9100

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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X M2631 TX Primary

Addresses

Primary practice location

2308 Hwy 83 Ste F
Penitas, TX 78576-8399

Mailing address

2308 Hwy 83 Ste F
Penitas, TX 78576-8399
Phone (956) 519-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100316000883 TX Part B Supplier - Clinic/Group Practice 8325173347 Receives reassigned benefits from 4 practitioners
Practice locations: Penitas, TX

National Provider Directory

National Provider Directory

Locations

712 S Cage Blvd
Pharr, TX 78577
Phone (956) 783-1900

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1649401951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 HWY 83 STE F",
            "city": "PENITAS",
            "state": "TX",
            "postal_code": "785768399",
            "telephone_number": "956-519-9100",
            "fax_number": "956-519-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 HWY 83 STE F",
            "city": "PENITAS",
            "state": "TX",
            "postal_code": "785768399",
            "telephone_number": "956-519-9100",
            "fax_number": "956-519-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO GUZMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-519-9100",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "M2631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penitas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.