S-S-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P0707 Issued in TX

Legal business name

S-S-C

Practice address

779 N Texas Blvd
Alice, TX 78332-3883

Phone

(361) 668-0919

Fax

(361) 668-0816

NPI assigned

Jan 18, 2012

Organization subpart

Yes

Parent organization

S-S-CAs reported in NPPES

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

Authorized official

Name

Dr. Sergio Saul Cantu, MDNPI 1770862047

Title

President

Phone

(210) 379-7480

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BRUSH COUNTRY MEDICAL PLLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

S-S-C

Locations

Interoperability endpoints

• Direct secure messaging: sergiocantu@direct.practicefusion.com

Practitioners 3

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

• Sergio Saul Cantu, M.D.

  • Family Medicine Physician
  • Alice, TX
  • NPI 1770862047

  Single Specialty

  Medicare reassignment NPD Authorized official
• Daniella Medellin

  • Family Nurse Practitioner
  • Alice, TX
  • NPI 1730912361
  NPD
• Debra Kaye Alvarado, FNP

  • Family Nurse Practitioner
  • Alice, TX
  • NPI 1013424720
  NPD (past)

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1972874287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 N TEXAS BLVD",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783323883",
            "telephone_number": "361-668-0919",
            "fax_number": "361-668-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 N TEXAS BLVD",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783323883",
            "telephone_number": "361-668-0919",
            "fax_number": "361-668-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S-S-C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "S-S-C",
        "enumeration_date": "2012-01-18",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "SAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-379-7480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P0707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300671001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sergiocantu@direct.practicefusion.com",
            "affiliation": "Y",
            "affiliationName": "S-S-C",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "779 N Texas Blvd",
            "city": "Alice",
            "state": "TX",
            "country_code": "US",
            "postal_code": "783323883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BRUSH COUNTRY MEDICAL PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alma Munoz Ruiz, O.T.R
• Rural Economic Assistance League Inc.
• Rural Economic Assistance League, Inc.
• Rural Economic Assistance League, Inc.
• Rural Economic Assistance League, Inc.
• Humberto Saavedra, M.D.
• Sabeen Rani MD PA
• Sacred Heart Specialty Home Care, LLC
• Gretchen A Saenz, M.S.,LPC
• Jennifer Kay Saenz, MSN, APRN, CCM,FNP-C

• Family Medicine Physician in Alice, TX
• Providers in Alice, 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 Dec 12, 2023; 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.