JUAN CARLOS DE LA CERDA (NPI# 1033282629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033282629 |
| Entity Type | Organization |
| Organization Name | JUAN CARLOS DE LA CERDA |
| Other Organization Name | SONO DIAGNOSTICS OF WEST TEXAS |
| Practice Address |
1902 50th St Lubbock TX 79412-2706 |
| Mailing Address |
Po Box 54136 Lubbock TX 79453-4136 |
| Practice Telephone | 8067711386 |
| Practice Fax Number | 8067711388 |
| Mailing Telephone | 8067711386 |
| Mailing Fax Number | 8067711388 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-08-04 |
| Authorized Official Name | JUAN CARLOS DE LE CERDA (OWNER) |
| Authorized Official Telephone | 8067915930 |
| Authorized Official Credential | RVT, RVS, RDCS, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | 25718 | TX | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 00MDXO | 01 |
| TX | BLUE CROSS BLUE SHIELD | 0147DC | 01 |
| Other Name | Type Code |
|---|---|
| SONO DIAGNOSTICS OF WEST TEXAS | Doing Business As Name - Organization |
| Street Address |
1902 50TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79412-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659301471 | Traci Rodriguez | Nurse Practitioner | 1902 50th St, Lubbock, TX 79412-2706 | 2006-07-04 |
| 1356737472 | Afhcph (1) Lp | General Practice | 1902 50th St, Lubbock, TX 79412-2706 | 2015-04-15 |
| 1003097155 | Gay Ann Tibbets | Nurse Practitioner | 1902 50th St, Lubbock, TX 79412-2706 | 2007-11-16 |
| 1326079021 | Enrique Rodriguez | Internal Medicine | 1902 50th St, Lubbock, TX 79412-2706 | 2006-07-05 |
| 1467482182 | Enrique Rodriguez, M.d., P.a. | Nurse Practitioner | 1902 50th St, Lubbock, TX 79412-2706 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420864 | The Kidney Care Center, LLC | Clinic/Center | 3702 Interstate 27, Lubbock, TX 79412 | 2020-02-28 |
| 1639531254 | Lori Ann Boyd | Dietitian, Registered | 2412 50 Th Street, Lubbock, TX 79412 | 2016-03-23 |
| 1073989083 | Jesse Garcia | Social Worker | 6104 Ave. Q South Drive, Lubbock, TX 79412 | 2015-08-12 |
| 1316294408 | Ronald Caporale | Physician Assistant | 1701 50th Street, Lubbock, TX 79412 | 2012-08-08 |
| 1508152901 | Lilian Francisca Hayes | Counselor | 2345 50th St., Lubbock, TX 79412 | 2011-06-23 |
| 1861787285 | Sarah Delacruz | Counselor | 2345 50th Street, Lubbock, TX 79412 | 2011-06-14 |
| 1407189558 | David G Smith | Counselor | 2345 50th Managed Care Center, Lubbock, TX 79412 | 2009-09-08 |
| 1427261205 | Barbara J Trotter | Dietitian, Registered | 5022 Ave Q, Covenant Ctr for Outpatient Diabetes Education Lubbock, Lubbock, TX 79412 | 2007-05-08 |
| 1447471057 | Elmer Artemus Addington IIi | Chiropractor | 3410 Avenue Q, Lubbock, TX 79412 | 2007-05-01 |
| 1083779805 | Shaun Hamlett Keel PC | Psychologist | 2402 52nd St., Suite 6, Lubbock, TX 79412 | 2006-12-22 |
| Find all providers in zip 79412 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174001358 | Emily Cowell | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424 | 2018-07-31 |
| 1962762146 | Eric Franco | Technician, Other | 3003 50th St Ste 100, Lubbock, TX 79413-4137 | 2012-05-22 |
| 1639453459 | Michael Fox | Technician, Other | 1308 35th St, Lubbock, TX 79412-1301 | 2011-09-29 |
| 1700173259 | Robert Brent Hudson | Technician, Other | 1901-50th St., Lubbock, TX 79412-2716 | 2011-07-06 |
| 1043774672 | Lori Brooks | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424-0802 | 2019-01-28 |
| 1184188708 | Samantha Rodriguez | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424-0802 | 2019-01-28 |
| 1710458450 | Emily White | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424-0802 | 2018-12-06 |
| 1003391095 | Brianna Salas | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424-0802 | 2018-09-26 |
| 1982185724 | Jesslyn Davis | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424-0802 | 2018-08-28 |
| 1477032159 | Elyse Coleman | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424-0802 | 2018-08-13 |
| Find all providers in LUBBOCK | ||||
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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.