Individual provider Active NPI

Saul Izaguirre, NP

  • Family Nurse Practitioner
  • San Juan, TX
National Provider Identifier
1760992887
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134814 Issued in TX
Practice address
1110 S Stewart Rd Ste B
San Juan, TX 78589-5206
Phone
(956) 884-4550
Fax
(956) 258-5666
NPI assigned
Oct 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134814 TX Primary

Addresses

Primary practice location

1110 S Stewart Rd Ste B
San Juan, TX 78589-5206

Mailing address

1110 S Stewart Rd Ste B
San Juan, TX 78589-5206
Phone (956) 884-4550

Other names 1

  • Saul Izaguirre Alvarez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180629000770 TX Practitioner - Nurse Practitioner 2365798626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1110 S Stewart Rd
Suite B
San Juan, TX 78589-5206

1110 S Stewart Rd B
Izaguirre Wellness Clinic
San Juan, TX 78589-5206
Phone (956) 309-3290

Hospital & facility affiliations

  • Rio Grande Regional Hospital Hospital, McAllen, TX, CCN 450711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Izaguirrewc L L C Family CurrentSince May 1, 2022 Accepting new patients

Locations

1110 S Stewart Rd
Ste B
San Juan, TX 78589
Phone (956) 309-3290

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1760992887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 S STEWART RD STE B",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785895206",
            "telephone_number": "956-884-4550",
            "fax_number": "956-258-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 S STEWART RD STE B",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785895206",
            "telephone_number": "956-884-4550",
            "fax_number": "956-258-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZAGUIRRE",
        "first_name": "SAUL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-03",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAUL",
            "last_name": "IZAGUIRRE ALVAREZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, TX

Sources for this page

Verify at the official NPI Registry.