Individual provider Active NPI

Benjamin Serjio Zamora

  • Speech-Language Pathologist
  • McAllen, TX
National Provider Identifier
1881162949
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
113879 Issued in TX
Practice address
1217 W Houston Ave
McAllen, TX 78501-5012
Phone
(956) 631-9171
NPI assigned
Nov 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 113879 TX Primary

Addresses

Primary practice location

1217 W Houston Ave
McAllen, TX 78501-5012

Mailing address

105 NW Augusta SQ
McAllen, TX 78503-1268
Phone (361) 459-9395

Other practice location 1

105 NW Augusta Sq
McAllen, TX 78503-1268
Phone (361) 459-9395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
113879TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Rio Grande Valley Speech-Language Pathologist CurrentSince Dec 24, 2023 Accepting new patients
Focus Therapy LLC Speech-Language Pathologist CurrentSince Nov 24, 2024 Accepting new patients

Locations

1601 W Trenton Rd
Ste I
Edinburg, TX 78539
Phone (956) 215-7040

2422 E Tyler Ave
Ste C
Harlingen, TX 78550
Phone (956) 423-9171

1217 W Houston Ave
McAllen, TX 78501
Phone (956) 631-9171

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1881162949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NW AUGUSTA SQ",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031268",
            "telephone_number": "361-459-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 W HOUSTON AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015012",
            "telephone_number": "956-631-9171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 NW Augusta Sq",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785031268",
            "country_code": "US",
            "telephone_number": "361-459-9395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "BENJAMIN",
        "middle_name": "SERJIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-07",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.