SU CLINICA FAMILIAR (NPI# 1194820969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194820969 |
| Entity Type | Organization |
| Organization Name | SU CLINICA FAMILIAR |
| Other Organization Name | SU CLINICA FAMILIAR |
| Practice Address |
131 Fm 3168 Raymondville TX 78580-3605 |
| Mailing Address |
1706 Treasure Hills Blvd Harlingen TX 78550-8911 |
| Practice Telephone | 9566895216 |
| Practice Fax Number | 9566895937 |
| Mailing Telephone | 9563656005 |
| Mailing Fax Number | 9563656770 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2016-09-28 |
| Authorized Official Name | ELENA MARIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9563656750 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
A01094 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2099012 | 01 |
| Other Name | Type Code |
|---|---|
| SU CLINICA FAMILIAR | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386960862 | Su Clinica Familiar | Clinic/Center | Hwy 107 and La Feria Avenue, Santa Rosa, TX 78593-0226 | 2010-04-09 |
| 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 |
| 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 |
131 FM 3168 |
| City | RAYMONDVILLE |
| State | TX |
| Zip Code | 78580-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073573762 | Rosa Linda Ibarra | Dietitian, Registered | 131 Fm 3168, Raymondville, TX 78580-3605 | 2006-03-25 |
| 1245882208 | Jorge Luis Moreno | Pharmacist | 131 Fm 3168, Raymondville, TX 78580-3605 | 2019-07-10 |
| 1780920991 | Michelle Jermie Stephen Salazar | Dietitian, Registered | 131 Fm 3168, Raymondville, TX 78580-3605 | 2012-12-14 |
| 1134437775 | Sandra Reyes Lopez | Dietitian, Registered | 131 Fm 3168, Raymondville, TX 78580-3605 | 2010-09-16 |
| 1891969531 | Stacey Amy Roberts | Dietitian, Registered | 131 Fm 3168, Raymondville, TX 78580-3605 | 2008-04-14 |
| 1285747840 | Victor Vela | Physician Assistant | 131 Fm 3168, Raymondville, TX 78580-3605 | 2006-08-17 |
| 1982610085 | Miguel A Martinez-vela | Pediatrics | 131 Fm 3168, Raymondville, TX 78580-3605 | 2006-07-31 |
| 1871516807 | Su Clinica Familiar | Clinic/Center | 131 Fm 3168, Raymondville, TX 78580-3605 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003373184 | Pharmacy Station LLC | Pharmacy | 640 S Expressway, Suite 1, Raymondville, TX 78580 | 2019-02-26 |
| 1407213184 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 111 E Hidlalgo Ave, Raymondville, TX 78580 | 2016-01-26 |
| 1124417506 | La Jarra Adult Day Care, LLC | Clinic/Center | 12601 Las Majadas Ranch Rd, Raymondville, TX 78580 | 2015-01-22 |
| 1386042208 | La Jarra Assisted Living Facility | Case Manager/Care Coordinator | 700 Fm 1860, Raymondville, TX 78580 | 2014-12-09 |
| 1033544929 | Raymondville Family Dentistry | Dentist | 652 S. Expressway 77, Raymondville, TX 78580 | 2013-09-10 |
| 1164711727 | Texas Amram LLC | Clinic/Center | 471 West Main, Raymondville, TX 78580 | 2011-04-05 |
| 1891926614 | Arlene Elizabeth Valdez | Physician Assistant | 165 South Sixth Street, Smith Family Medicine, Raymondville, TX 78580 | 2009-07-28 |
| 1033212618 | Pedro C Mungia | Dentist | 780 S 7th St, Raymondville, TX 78580 | 2006-09-07 |
| 1346728011 | Reynaldo Chavez Jr. | Physical Therapy Assistant | 100 N Hwy 77 Ste I, Raymondville, TX 78580 | 2018-08-03 |
| 1508188681 | K & K Care Inc. | Home Health | 219 W. Hidalgo, Suite B, Raymondville, TX 78580-0000 | 2010-02-17 |
| Find all providers in zip 78580 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695471 | Lone Star Community Health Center, Inc. | Pharmacy | 227 State Highway 75 N Ste 130, Huntsville, TX 77320-3171 | 2020-09-28 |
| 1508428046 | Pharmacore Consulting Group | Pharmacy | 2440 Texas Pkwy Ste 380, Missouri City, TX 77489-4000 | 2019-07-05 |
| 1245894682 | Burke Center | Pharmacy | 1522 W Frank Ave Ste 109, Lufkin, TX 75904-3334 | 2019-04-30 |
| 1578053591 | Corpus Christi Urology Group, Pllc | Pharmacy | 601 Texan Trl Ste 100a, Corpus Christi, TX 78411-2548 | 2018-05-15 |
| 1174023493 | Pristinerx Consulting LLC | Pharmacy | 12046 Giddings Dr, Frisco, TX 75035-8874 | 2018-02-13 |
| 1649704396 | North Central Texas Community Health Care Center, Inc | Pharmacy | 1301 3rd St Ste 100, Wichita Falls, TX 76301-2245 | 2017-04-19 |
| 1053859306 | Metabolic Therapy Inc. | Pharmacy | 4103 Avenue D, Austin, TX 78751 | 2017-02-07 |
| 1407394992 | Bsa Amarillo Diagnostic Clinic | Pharmacy | 6700 W 9th Ave Ste C, Amarillo, TX 79106-1729 | 2017-02-06 |
| 1659700540 | Familia Care Inc | Pharmacy | 10058 A. Long Point, Houston, TX 77055 | 2013-11-01 |
| 1376971499 | Planned Parenthood of Greater Texas | Pharmacy | 9100 N Central Expy # 169, Dallas, TX 75231-5922 | 2013-10-29 |
| Find all providers with the same taxonomy | ||||
| City | RAYMONDVILLE |
| Zip Code | 78580 |
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.