En Aquellos Tiempos, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

133041 Issued in TX

Legal business name

EN AQUELLOS TIEMPOS, INC.

Practice address

1209 E FM 495
Suite 1-3
San Juan, TX 78589-4863

Phone

(956) 702-8833

Fax

(956) 702-8844

NPI assigned

Feb 9, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Joanne Michelle Martinez

Title

Owner/Director

Phone

(956) 702-8833

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1700158524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 E FM 495",
            "address_2": "SUITE 1-3",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785894863",
            "telephone_number": "956-702-8833",
            "fax_number": "956-702-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 E FM 495",
            "address_2": "SUITE 1-3",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785894863",
            "telephone_number": "956-702-8833",
            "fax_number": "956-702-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EN AQUELLOS TIEMPOS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "956-702-8833",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "133041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001017838",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eleva Enterprises, LLC (Staars)
• Eric Elizondo, OTR
• Raul Elizondo III
• Kenneth Chiuba Emelonye III
• En Aquellos Tiempos Adc Inc
• Diana Enriquez, CHW
• Elizette Marie Escaname
• Marina Elia Escobar, LPC
• Carmen Escobedo, PTA
• Estamos Unidos Adult Day Care, LLC

• Adult Day Care Clinic/Center in San Juan, TX
• Providers in San Juan, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.