Dilydis Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

PA03948 Issued in TX

Legal business name

DILYDIS INC

Doing business as

Clinica San Fernando

Practice address

3908 N. Jackson Rd
Pharr, TX 78577

Phone

(956) 502-5513

Fax

(956) 502-5514

NPI assigned

Jun 1, 2010

Last updated

Oct 2, 2018By 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

Mr. Nelson Loggiodice, PHYSICIAN ASSISTANTNPI 1477551471

Title

President

Phone

(956) 502-5513

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CLINICA SAN FERNANDO Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Nelson J Loggiodice, PA

  • Physician Assistant
  • Pharr, TX
  • NPI 1477551471
  Medicare reassignment Authorized official
• Fuad Zayed, M.D.

  • Family Medicine Physician
  • Alton, TX
  • NPI 1356342190
  Medicare reassignment NPD

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1821317843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 N JACKSON RD",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785777768",
            "telephone_number": "956-502-5513",
            "fax_number": "956-502-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 N. JACKSON RD",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "78577",
            "telephone_number": "956-502-5513",
            "fax_number": "956-502-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILYDIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "LOGGIODICE",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-502-5513",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "PA03948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217614101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA SAN FERNANDO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CLINICA SAN FERNANDO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Pharr, TX
• Providers in Pharr, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.