DR AMERICO M BACA PLLC (NPI# 1922564863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922564863 |
| Entity Type | Organization |
| Organization Name | DR AMERICO M BACA PLLC |
| Other Organization Name | SAN JUAN FAMILY CLINIC |
| Practice Address |
722 S Nebraska Ave San Juan TX 78589-2650 |
| Practice Telephone | 9567837088 |
| Practice Fax Number | 9567835657 |
| Mailing Telephone | 9567837088 |
| Mailing Fax Number | 9567835657 |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | JOHN W HOVORKA (PRESIDENT) |
| Authorized Official Telephone | 9569929161 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE | 866001 | 01 |
| TX | 404748202 | 05 | |
| TX | 404748201 | 05 |
| Other Name | Type Code |
|---|---|
| San Juan Family Clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 E Ridge Rd Ste 7, Mcallen, TX 785031528 | 9569929161 | 9569929174 |
| 508 Highway 107, #107, Elsa, TX 785430107 | 9569929161 | 9569929174 |
| Street Address |
722 S NEBRASKA AVE |
| City | SAN JUAN |
| State | TX |
| Zip Code | 78589-2650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336168129 | Americo M Baca | Family Medicine | 722 S Nebraska Ave, San Juan, TX 78589-2650 | 2006-07-19 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649805631 | Consorcio Multisalud Del Norte, Inc. | Family Medicine | 1551 Alda St., Urb. Caribe, San Juan, PR 00926 | 2020-03-10 |
| 1871154690 | Lisbeth Rodriguez Alzugaray | Family Medicine | 1 Villa Nevarez, 1107, San Juan, PR 00927-5134 | 2019-06-24 |
| 1649753823 | Providers Care Network Inc. | Family Medicine | 1605 Ave Ponce De Leon Ste 600, San Juan, PR 00909-1813 | 2018-09-13 |
| 1033663919 | Catalina Maria Frau Nicole | Family Medicine | University District Hospital,puerto Rico Medical Center, Bo. Monacillos, San Juan, PR 00935 | 2016-08-09 |
| 1629427273 | Consuelo Amalia Mena-gonzalez | Family Medicine | 712 Calle Central Apt 601, San Juan, PR 00907-4151 | 2016-06-05 |
| 1578952339 | Katiuska Nikole Baez Lopez | Family Medicine | 596 Calle Cesar Gonzalez, Apt 522, San Juan, PR 00918-4348 | 2015-01-16 |
| 1457609786 | Marita J. Flaz | Family Medicine | Colinas De Monte Carlo / 37 Street, D-19, San Juan, PR 00924-5803 | 2012-08-16 |
| 1023383536 | L A Primary Care & Specialty Group | Family Medicine | Portales De Altamesa, Edificio #16, Apt 1606, San Juan, PR 00921-4628 | 2012-03-16 |
| 1982981973 | Medical Pharmacy & Laboratory Administrative Services Corp | Family Medicine | Calle 25 Ne 333 Ave. Andalucia, San Juan, PR 00920 | 2011-11-04 |
| 1518244508 | Medical Pharmacy & Laboratory Administrative Services Corp | Family Medicine | Parcelas Falu Calle 8 Esquina 45, San Juan, PR 00923 | 2011-11-04 |
| 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.