CANTU FAMILY MEDICAL CLINIC PROFESSIONAL LIMITED LIABILITY COMPANY (NPI# 1245625201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245625201 |
| Entity Type | Organization |
| Organization Name | CANTU FAMILY MEDICAL CLINIC PROFESSIONAL LIMITED LIABILITY COMPANY |
| Practice Address |
409 W Fm 495 San Juan TX 78589-3717 |
| Mailing Address |
Po Box 2419 San Juan TX 78589-7419 |
| Practice Telephone | 9567875303 |
| Practice Fax Number | 9567878117 |
| Mailing Telephone | 9567875303 |
| Mailing Fax Number | 9567878117 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2016-04-04 |
| Authorized Official Name | DR. ROEL ESTEBAN CANTU SR. (OWNER) |
| Authorized Official Telephone | 9567878100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP122465 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
409 W FM 495 |
| City | SAN JUAN |
| State | TX |
| Zip Code | 78589-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639126121 | Franklin Beltre | Podiatrist | 409 W Fm 495, San Juan, TX 78589-3717 | 2006-05-28 |
| 1922561885 | Jeanette Marie Rodriguez | Counselor | 409 W Fm 495, San Juan, TX 78589-3717 | 2019-04-08 |
| 1306161567 | Blazing Indigo LLC | Podiatrist | 409 W Fm 495, San Juan, TX 78589-3717 | 2010-03-31 |
| 1891724084 | Franklin Beltre PC | Podiatrist | 409 W Fm 495, San Juan, TX 78589 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417598814 | Nueva Vida Primary Home Care LLC | In Home Supportive Care | 213 W. Business 83, San Juan, TX 78589 | 2019-10-07 |
| 1396207858 | Heart To Heart Talks, LLC | Counselor | 409 W. Fm 495, San Juan, TX 78589 | 2019-04-03 |
| 1386131209 | L4 Family Investments, LLC. | Technician | 1709 S Stewart Rd, San Juan, TX 78589 | 2018-04-16 |
| 1558741553 | Paraiso Dental Pllc | Clinic/Center | 1618 N Veterans Blvd Suite A, San Juan, TX 78589 | 2015-06-04 |
| 1811325970 | Liquid Dental, Pllc | Dentist | 105 South Cesar Chavez Road, Suite #2, San Juan, TX 78589 | 2013-10-28 |
| 1598021966 | Kids Dental & Orthodontics | Dentist | 1618 N. I Road Suite A, San Juan, TX 78589 | 2012-04-10 |
| 1003180704 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 100 E Fm 495, San Juan, TX 78589 | 2012-02-28 |
| 1598074932 | Chukwunonso Jideofor Azikiwe | Physical Therapy Assistant | 407 W. State Hwy 495, San Juan, TX 78589 | 2010-10-04 |
| 1093044539 | Melissa Rivera Dds Pa | Dentist | 4500 N Raul Longoria Street, San Juan, TX 78589 | 2009-12-11 |
| 1598995607 | Marivel Lydia Cavazos | Nurse Practitioner | 1211 N. Raul Longoria Ra. Ste C, San Juan, TX 78589 | 2009-07-23 |
| Find all providers in zip 78589 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699304287 | Frances Enid Casillas Chiesa | Nurse Practitioner | Edificio Internacional De Mercadeo, Suite 306, San Juan, PR 00910-1059 | 2020-04-06 |
| 1922645001 | Ellinor Mejia Sanchez | Nurse Practitioner | 1608 Star Ruby Dr, San Juan, TX 78589-2571 | 2019-12-07 |
| 1457713307 | Alexandra Garcia | Nurse Practitioner | 444 Calle De Diego Apt 1905, San Juan, PR 00923-3057 | 2016-03-21 |
| 1033313986 | Luis M. Cabret | Nurse Practitioner | 456 Calle Pachin Marin, San Juan, San Juan, PR 00917-3920 | 2007-06-13 |
| 1194344861 | Rosemarie Rodriguez - Vargas | Nurse Practitioner | 10 Calle Casia, San Juan, PR 00921-3200 | 2020-04-13 |
| 1386299634 | Corey Cruz | Nurse Practitioner | 100 Calle Del Muelle, Suit 3703, San Juan, PR 00901 | 2019-08-05 |
| 1043877145 | Carmen Ivette Ocasio-galarza | Nurse Practitioner | 10 Calle Casia, San Juan, PR 00921-3200 | 2019-05-23 |
| 1205321015 | Haydee Tamara Delgado | Nurse Practitioner | 10 Calle Casia, San Juan, PR 00921-3200 | 2018-06-25 |
| 1063907772 | Karen D Carroll | Nurse Practitioner | 1229 S Veterans Blvd, San Juan, TX 78589-3232 | 2018-06-25 |
| 1134627649 | Mildred Negron | Nurse Practitioner | 1462 Calle Prof Augusto Rodriguez, San Juan, PR 00909-2145 | 2018-01-30 |
| Find all providers in SAN JUAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.