Casa Bella Recovery Center, LLP

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CASA BELLA RECOVERY CENTER, LLP

Practice address

5601 Padre Blvd
South Padre Island, TX 78597-7450

Phone

(956) 774-7900

NPI assigned

Nov 27, 2013

Last updated

Nov 27, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. San Juana Viviana Martinez, MS, LCDC, QMHP

Title

Chief Executive Officer

Phone

(956) 774-7900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1780015875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 PADRE BLVD",
            "city": "SOUTH PADRE ISLAND",
            "state": "TX",
            "postal_code": "785977450",
            "telephone_number": "956-774-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 PADRE BLVD",
            "city": "SOUTH PADRE ISLAND",
            "state": "TX",
            "postal_code": "785977450",
            "telephone_number": "956-774-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA BELLA RECOVERY CENTER, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "SAN JUANA",
        "authorized_official_middle_name": "VIVIANA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "956-774-7900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LCDC, QMHP"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Anahi Alcorta
• Terri Lynn Beck, LCDC-I
• Scott Ronald Bonham, RPH
• Cedric Boyd Sr., RN, WCC
• Alexandra Burger, FNP-C, PMHNP- BC
• Christine Marie Cavazos, FNP-BC
• City of South Padre Island
• CVS Pharmacy Inc (CVS Pharmacy #05641)
• Richard Bruce Debenedetto, M.D.
• Emergence Medicine PA

• Substance Abuse Rehabilitation Facility in South Padre Island, TX
• Providers in South Padre Island, TX by specialty
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.