Juarez & Juarez Family Medical Clinic, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F0534 Issued in TX

Legal business name

JUAREZ & JUAREZ FAMILY MEDICAL CLINIC, INC.

Practice address

4151 Callaghan Rd
Ste 102
San Antonio, TX 78228-3476

Phone

(210) 681-6380

Fax

(210) 521-6200

NPI assigned

Jan 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mario Regino Juarez, M.D,NPI 1073523866

Title

President/Owner

Phone

(210) 681-6380

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Mario R Juarez, M.D.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1073523866
  Medicare reassignment NPD Authorized official
• Erika Hess, PA-C

  • Physician Assistant
  • San Antonio, TX
  • NPI 1124531850
  NPD (past)

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1669702940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 CALLAGHAN RD",
            "address_2": "STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782283476",
            "telephone_number": "210-681-6380",
            "fax_number": "210-521-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 CALLAGHAN RD",
            "address_2": "STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782283476",
            "telephone_number": "210-681-6380",
            "fax_number": "210-521-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAREZ & JUAREZ FAMILY MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "JUAREZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "REGINO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "210-681-6380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F0534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "00ML01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110270902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan Ju
• Juan a Garcia Mdpa
• Juan Carlos Garza MD PA
• Juan J Martin MD PLLC
• Veronica Juan, M.D.
• Giovanni Renato Juarez Cheng, MD
• Cecilia Juarez Higuera, PTA
• Eileen Joanna Juarez Lopez
• Melida Aurora Juarez-Briggs, M.D.
• Susana Patricia Juarez-Leal, CPNA PHD

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, 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 Jan 8, 2010; 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.