Daniela Caballero

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

883220030 Issued in TX

Practice address

2109 W 3 Mile Rd
Unit 11-13
Mission, TX 78573

Phone

(956) 271-4315

NPI assigned

Dec 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Casa Azul Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • Mission, TX
  • NPI 1871272856
  NPD Authorized official

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1760193585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7216 N 34TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785040570",
            "telephone_number": "956-271-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 W 3 MILE RD",
            "address_2": "UNIT 11-13",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78573",
            "telephone_number": "956-271-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "DANIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "883220030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88320030",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lizzette Yohana Burger
• Sylvia M Bustamante, PA
• Fenold Byron
• C&H Contractors
• Alexia Caballero
• Jose Luis Cabazos Jr.
• Stephanie Cabrera
• Cadena Family Clinic PLLC
• Aracely Cadena-Garza, M.D.
• Adriana Cadena-Martinez, MD

• Adult Day Care Clinic/Center in Mission, TX
• Providers in Mission, 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 Dec 13, 2022; 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.