Organization Active NPI

Izaguirrewc L L C

  • Family Nurse Practitioner
  • San Juan, TX
National Provider Identifier
1811639982
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
IZAGUIRREWC L L C
Practice address
1110 S Stewart Rd Ste B
San Juan, TX 78589-5206
Phone
(956) 884-4550
NPI assigned
Apr 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Saul Izaguirre, NPNPI 1760992887
Title
Sole Member /President
Phone
(956) 648-2968

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

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

Mailing address

512 Hunee Dr
San Juan, TX 78589-2755
Phone (956) 309-3290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220607002567 TX Part B Supplier - Clinic/Group Practice 7416335211 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1811639982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 HUNEE DR",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785892755",
            "telephone_number": "956-309-3290"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IZAGUIRREWC L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-10",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "IZAGUIRRE",
        "authorized_official_first_name": "SAUL",
        "authorized_official_title_or_position": "SOLE MEMBER /PRESIDENT",
        "authorized_official_telephone_number": "956-648-2968",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.