Dr Americo M Baca PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DR AMERICO M BACA PLLC

Doing business as

San Juan Family Clinic
Spence Legacy Family Clinic

Practice address

417 W FM 495
San Juan, TX 78589-3717

Phone

(956) 783-7088

Fax

(956) 783-5657

NPI assigned

Feb 15, 2019

Last updated

Mar 27, 2026By 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

John W Hovorka, MDNPI 1699710665

Title

President

Phone

(956) 992-9161

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 2

• San Juan Family Clinic Doing business as
• Spence Legacy Family Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922564863. Details of each certification follow.

• CCN 678924 Rural health clinic · Active · Details

Rural health clinic certification: CCN 678924

Legal name

DR AMERICO M BACA PLLC

Doing business as

SPENCE LEGACY FAMILY CLINIC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Dec 29, 2023

Last certification

Dec 29, 2023

Ownership / control type

1A

Organization structure

LLCProprietary

Enrollment address

336 S 8TH St
Raymondville, TX 78580-2526

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• John W Hovorka, M.D.

  • Surgery Physician
  • McAllen, TX
  • NPI 1699710665

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

Practitioners 7

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.

• Jesus Mannuel Medina, PA

  • Medical Physician Assistant
  • McAllen, TX
  • NPI 1346989720
  Medicare reassignment Care Compare group NPD
• Maris K Paul

  • Family Nurse Practitioner
  • McAllen, TX
  • NPI 1295516193
  Medicare reassignment Care Compare group NPD
• Cinimol Teju, MSN,APRN,FNP-C

  • Family Nurse Practitioner
  • San Juan, TX
  • NPI 1457944878
  Medicare reassignment Care Compare group NPD
• Mario Luis Vasquez Aguilar

  • Family Medicine Physician
  • Rio Grande City, TX
  • NPI 1275846156
  Medicare reassignment Care Compare group NPD
• Ivan G Melendez, M.D.

  • Family Medicine Physician
  • McAllen, TX
  • NPI 1568447233
  Medicare reassignment NPD
• John W Hovorka, M.D.

  • Surgery Physician
  • McAllen, TX
  • NPI 1699710665
  NPD (past) Authorized official
• Ratna Behara, M.D.

  • Family Medicine Physician
  • Alamo, TX
  • NPI 1114912821
  NPD (past)

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1922564863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W FM 495",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893717",
            "telephone_number": "956-783-7088",
            "fax_number": "956-783-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W FM 495",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893717",
            "telephone_number": "956-783-7088",
            "fax_number": "956-783-5657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "336 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Raymondville",
            "state": "TX",
            "postal_code": "785802526",
            "country_code": "US",
            "telephone_number": "956-689-2456",
            "fax_number": "956-783-5657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR AMERICO M BACA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-15",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "HOVORKA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-992-9161",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404748201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404748202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "866001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Juan Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Juan Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spence Legacy Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maribel De Los Santos
• Karen De Luna, M.S., CCC-SLP
• Dental Park of San Juan PLLC
• Armandina Lizeth Dickerson, SLPA
• Dona Mari's RGV Primary Home Care, LLC.
• Shelly L Duffey, PT
• Dulce Primary Home Care
• Alberto D Duran, MD
• Charles Ebiliekwe, PHARMD
• Edgar a Rodriguez MD PA

• Family Medicine Physician in San Juan, TX
• Providers in San Juan, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.