MCJV

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MCJV

Doing business as

Zona Azul

Practice address

614 Elm St
Portland, TX 78374-1714

Phone

(361) 563-2966

NPI assigned

Sep 1, 2023

Last updated

Sep 1, 2023By 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

Mrs. Eileen IsaacsNPI 1942810866

Title

Practice Manager

Phone

(361) 779-6093

Specialties & licenses 1

Addresses

Other names 1

• Zona Azul Doing business as

Locations

Practitioners 1

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.

• Eileen Michelle Isaacs, LMSW

  • Social Worker
  • Corpus Christi, TX
  • NPI 1942810866
  NPD Authorized official

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1982480323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 ELM ST",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783741714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 ELM ST",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783741714",
            "telephone_number": "361-563-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCJV",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "ISAACS",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "361-779-6093",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zona Azul",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Garcia Marroquin, SLP - INTER
• Joseph Daniel Martinez, PHARMD
• Lorraine Elizabeth Martinez, MS-SLP-CCC
• Shelby Danielle Martinez, PHARMD
• Michael Landers Mauldin, D.D.S.
• MCJV Medical Partners, LLC (Bridge Family Practice)
• Donna Welfel McMahan, RN MSN FNP
• Jed S. McNally, PHYSICAL THERAPIST
• Charles D. Meadows, PTA
• Jose Mejia

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.