NPIMap

Organization Active NPI

Family Health Center LLP

  • Rural Health Clinic/Center
  • Rio Grande City, TX
National Provider Identifier
1750304846
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FAMILY HEALTH CENTER LLP
Practice address
2768 Pharmacy Rd
Rio Grande City, TX 78582-6201
Phone
(956) 487-5621
Fax
(956) 487-5862
NPI assigned
Jul 26, 2006
Last updated
Jan 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Aida Soza, CRHCP, CMOM, CMC
Title
Administrator
Phone
(956) 487-5621

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Rural Health Clinic/Center 261QR1300X TX Primary

Addresses

Primary practice location

2768 Pharmacy Rd
Rio Grande City, TX 78582-6201

Mailing address

2768 Pharmacy Rd
Rio Grande City, TX 78582-6201
Phone (956) 487-5621

Other identifiers 1

IdentifierTypeStateIssuer
126933404MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040929001210 TX Part B Supplier - Clinic/Group Practice 3476522012 Receives reassigned benefits from 15 practitioners
Practice locations: Rio Grande City, TX
O20170124000202 TX Part A Provider - Rural Health Clinic 3476522012 Practice locations: Rio Grande City, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750304846. Details of each certification follow.

Rural health clinic certification: CCN 453812

Legal name
FAMILY HEALTH CENTER LLP
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 26, 1990
Last certification
May 22, 2018
Ownership / control type
1C
Organization structure
PartnershipNon-profit
Incorporated
Mar 30, 1983 in TX
Enrollment address
2768 Pharmacy Rd
Rio Grande City, TX 78582-6201

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
45D0877683Family Health Center LLP2768 Pharmacy Road, Rio Grande City, TX 78582Certificate of waiverJul 17, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Antonio Falcon Individual 5% Or Greater Direct Ownership InterestPartner Apr 7, 2025 10%
Corporate OfficerPresident/Medical Director Apr 7, 2025 55%
Corporate DirectorPresident/Medical Director Apr 7, 2025 55%
W-2 Managing EmployeeMD; Apr 7, 2025 55%
Sarah E Diaz de Leon Individual 5% Or Greater Direct Ownership InterestPartner Apr 7, 2025 35%
James a Falcon Individual 5% Or Greater Direct Ownership InterestPresident/MD Apr 7, 2025 55%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1750304846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2768 PHARMACY RD",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826201",
            "telephone_number": "956-487-5621",
            "fax_number": "956-487-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2768 PHARMACY RD",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826201",
            "telephone_number": "956-487-5621",
            "fax_number": "956-487-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "SOZA",
        "authorized_official_first_name": "AIDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-487-5621",
        "authorized_official_credential": "CRHCP, CMOM, CMC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126933404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

Verify at the official NPI Registry.