SU CLINICA FAMILIAR (NPI# 1386960862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386960862 |
| Entity Type | Organization |
| Organization Name | SU CLINICA FAMILIAR |
| Practice Address |
Hwy 107 and La Feria Avenue Santa Rosa TX 78593-0226 |
| Mailing Address |
1706 Treasure Hills Blvd Harlingen TX 78550-8911 |
| Practice Telephone | 9563656071 |
| Practice Fax Number | 9563656072 |
| Mailing Telephone | 9563656750 |
| Mailing Fax Number | 9563656779 |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2011-03-23 |
| Authorized Official Name | MR. ADAM SALDIVAR (CFO) |
| Authorized Official Telephone | 9563659750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093819062 | Su Clinica Familiar | Pharmacy | 4000 Fm 511, Brownsville, TX 78526-9492 | 2006-09-12 |
| 1639171804 | Su Clinica Familiar | Clinic/Center | 1706 Treasure Hills Blvd, Harlingen, TX 78550-8911 | 2005-06-01 |
| 1841891934 | Su Clinica Familiar | Public Health or Welfare | 1706 Treasure Hills Blvd, Harlingen, TX 78550-8911 | 2020-11-04 |
| 1679704175 | Su Clinica Familiar | Pharmacy | 1706 Treasure Hills Blvd, Harlingen, TX 78550-8911 | 2009-07-31 |
| 1528116563 | Su Clinica Familiar | Dentist | 1706 Treasure Hills Blvd, Harlingen, TX 78550-8911 | 2007-01-08 |
| 1770631723 | Su Clinica Familiar | Clinic/Center | 1706 Treasure Hills Blvd, Harlingen, TX 78550-8911 | 2007-01-08 |
| 1194820969 | Su Clinica Familiar | Pharmacy | 131 Fm 3168, Raymondville, TX 78580-3605 | 2006-09-14 |
| 1285643304 | Su Clinica Familiar | Pharmacy | 1706 Treasure Hills Blvd, Harlingen, TX 78550-8911 | 2006-08-07 |
| 1467460808 | Su Clinica Familiar | Clinic/Center | 1706 Treasure Hills Blvd, Harlingen, TX 78550-8911 | 2006-08-03 |
| 1811901655 | Su Clinica Familiar | Clinic/Center | 105 E Alton Gloor Blvd, Brownsville, TX 78526-3391 | 2006-07-28 |
| Street Address |
HWY 107 AND LA FERIA AVENUE |
| City | SANTA ROSA |
| State | TX |
| Zip Code | 78593-0226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689975153 | Lydia Dominguez | Nurse Practitioner | Highway 107 & La Feria Ave., Santa Rosa, TX 78593 | 2010-11-15 |
| 1831376474 | Healing Hands With Advanced Care Services Incorporated | Home Health | 113 Jesus Cruz, Santa Rosa, TX 78593 | 2008-01-25 |
| 1487846275 | Halo Health Services Inc. | Home Health | 109 Santa Rosa Blvd., Santa Rosa, TX 78593 | 2007-08-15 |
| 1003938622 | Santa Rosa Isd | Local Education Agency (LEA) | Hwy 107 & E. Cruz St., Santa Rosa, TX 78593 | 2007-04-04 |
| 1316075518 | El#1adultdaycare | Clinic/Center | 11861 West Hwy 107, Santa Rosa, TX 78593 | 2007-03-01 |
| 1225130578 | C H Wilkinson Physician Network | Clinic/Center | Highway 107 and La Feria Ave, Santa Rosa, TX 78593 | 2006-09-05 |
| 1437170065 | C.h. Wilkinson Physician Network | Obstetrics & Gynecology | Highway 107 & La Feria Avenue, Santa Rosa, TX 78593 | 2006-07-21 |
| 1811217003 | Dora Alicia Martinez | Family Medicine | 122 Fm 506, Santa Rosa, TX 78593-0226 | 2010-06-10 |
| 1093293243 | Juanita Zepeda | Licensed Vocational Nurse | 21204 Hooks and Hodges Rd, Santa Rosa, TX 78593-2018 | 2018-07-31 |
| 1174861678 | Valley Labs | Clinical Medical Laboratory | 20476 Thompson Rd, Santa Rosa, TX 78593-2084 | 2013-01-18 |
| Find all providers in zip 78593 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871651273 | Santa Rosa Community Health Centers | Clinic/Center | 599 Bellevue Ave, Santa Rosa, CA 95407-7713 | 2006-12-05 |
| 1245739697 | Santa Rosa Community Health Center | Clinic/Center | 3883 Airway Dr Ste 202, Santa Rosa, CA 95403-1671 | 2018-02-12 |
| 1780195255 | Santa Rosa Community Health Centers | Clinic/Center | 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 | 2017-10-23 |
| 1518345511 | Santa Rosa Community Health Centers | Clinic/Center | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2015-05-11 |
| 1184909103 | Santa Rosa Community Health Centers | Clinic/Center | 983 Sonoma Ave, Santa Rosa, CA 95404-4818 | 2011-10-21 |
| 1558512624 | Santa Rosa Community Health Centers | Clinic/Center | 711 Stony Point Rd Ste 17, Santa Rosa, CA 95407-6848 | 2008-10-07 |
| 1114120623 | Santa Rosa Community Health Centers | Clinic/Center | 751 Lombardi Court, Santa Rosa, CA 95407-6793 | 2007-06-11 |
| 1578766085 | Santa Rosa Community Health Centers | Clinic/Center | 751 Lombardi Ct Ste B, Santa Rosa, CA 95407-6793 | 2007-06-11 |
| 1487857991 | Santa Rosa Community Health Centers | Clinic/Center | 751 Lombardi Court, Santa Rosa, CA 95407-6793 | 2007-06-11 |
| 1568665073 | Santa Rosa Community Health Centers | Clinic/Center | 599 Bellevue Ave, Santa Rosa, CA 95407-7713 | 2007-06-11 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 78593 |
Please comment or provide details below to improve the information on SU CLINICA FAMILIAR.
| 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.