Individual provider Active NPI

Viviana Juarez

  • Pediatrics Physician
  • New Braunfels, TX
National Provider Identifier
1700455037
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
V1504 Issued in TX
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
V1504TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Braunfels Pediatric Associates, P.a. Pediatrics PastSince Jul 7, 2024 Accepting new patients
Abcd Pediatrics Pediatrics PastSince Jul 7, 2024 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.

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.

Verify at the official NPI Registry.