Active NPI
Viviana Juarez
- Pediatrics Physician
- New Braunfels, TX
National Provider Identifier
1700455037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- V1504
- Practice address
- 2115 Stephens PL Ste 900
New Braunfels, TX 78130-2164 - Phone
- (830) 214-6708
- NPI assigned
- Jun 21, 2021
- Last updated
- Jul 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | V1504 | TX | Primary |
Addresses
Primary practice location
2115 Stephens PL Ste 900
New Braunfels, TX 78130-2164
Mailing address
2115 Stephens PL Ste 900
New Braunfels, TX 78130-2164
Phone (830) 214-6708
Other practice location 1
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 626-4300
Other practice location 2
19238 Stonehue
San Antonio, TX 78258-3447
Phone (210) 867-8738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V1504 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Braunfels Pediatric Associates, P.a. | Pediatrics | Past | Accepting new patients |
| Abcd Pediatrics | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1841280278
-
- Pediatrics Physician
- New Braunfels, TX
- NPI 1790819993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1700455037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 STEPHENS PL STE 900",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781302164",
"telephone_number": "830-214-6708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 STEPHENS PL STE 900",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781302164",
"telephone_number": "830-214-6708"
}
],
"practiceLocations": [
{
"address_1": "1501 Kings Hwy",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711034228",
"country_code": "US",
"telephone_number": "318-626-4300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19238 Stonehue",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782583447",
"country_code": "US",
"telephone_number": "210-867-8738",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUAREZ",
"first_name": "VIVIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-21",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "V1504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.