Clinica Buena Vida LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CLINICA BUENA VIDA LLC

Practice address

19703 Creek Bend TRL
Houston, TX 77084-4380

Phone

(281) 704-9046

NPI assigned

Jan 22, 2016

Organization subpart

No

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

Authorized official

Name

Yunior Jimenez-Perez

Title

Owner

Phone

(281) 704-9046

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1831556737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19703 CREEK BEND TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770844380",
            "telephone_number": "281-704-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19703 CREEK BEND TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770844380",
            "telephone_number": "281-704-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA BUENA VIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ-PEREZ",
        "authorized_official_first_name": "YUNIOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-704-9046"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.