Organization Active NPI

Clinica Familia Hispana. Inc

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1700471851
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CLINICA FAMILIA HISPANA. INC
Practice address
5392 W 34TH St
Houston, TX 77092-6626
Phone
(281) 974-1225
Fax
(281) 501-1873
NPI assigned
Mar 1, 2021
Last updated
Nov 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Mrs. Marilyn Del Toro Bravo
Title
Owner/Manager
Phone
(737) 333-1263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

5392 W 34TH St
Houston, TX 77092-6626

Mailing address

4534 Hwy 6 N.
Houston, TX 77084
Phone (281) 974-1225

Other names 1

  • CLINICA FAMILIA HISPANA. INC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240912002159 TX Part B Supplier - Clinic/Group Practice 5890235113 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2214138Clinica Familia Hispana5392 W 34TH St, Houston, TX 77092Certificate of waiverFeb 18, 2027

National Provider Directory

National Provider Directory

Locations

5392 W 34th St
Houston, TX 77092
Phone (281) 974-1225

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1700471851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4534 HWY 6 N.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77084",
            "telephone_number": "281-974-1225",
            "fax_number": "281-501-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5392 W 34TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770926626",
            "telephone_number": "281-974-1225",
            "fax_number": "281-501-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA FAMILIA HISPANA. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2023-11-16",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "DEL TORO BRAVO",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "737-333-1263",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA FAMILIA HISPANA. INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.