Saucedo Family Care, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

J2303 Issued in TX

Legal business name

SAUCEDO FAMILY CARE, PLLC

Practice address

2423 2ND St Ste a
Eagle Pass, TX 78852-4118

Phone

(830) 335-2552

Fax

(830) 335-2580

NPI assigned

Mar 7, 2017

Organization subpart

No

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

Authorized official

Name

Juan Saucedo, D.O.NPI 1104976539

Title

Owner

Phone

(830) 335-2552

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Juan Saucedo, D.O.

  • Family Medicine Physician
  • Eagle Pass, TX
  • NPI 1104976539
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1669912804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 2ND ST STE A",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524118",
            "telephone_number": "830-335-2552",
            "fax_number": "830-335-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 2ND ST STE A",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524118",
            "telephone_number": "830-335-2552",
            "fax_number": "830-335-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUCEDO FAMILY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "SAUCEDO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-335-2552",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "J2303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Sandoval
• Santa Rosa Primary Care Inc
• Santana Family Care PLLC
• Raphael Santana, FNP
• Nakul Satyendra
• Juan Saucedo, D.O.
• Veronica Lizette Saucedo
• William Anthony Savage
• Angela Lynn Schladoer, D.P.M.
• Isela Segura

• Primary Care Clinic/Center in Eagle Pass, TX
• Providers in Eagle Pass, 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 Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.