DR. VICENTE MARIO JUAN


Address: 1425 Santa Fe, Corpus Christi, TX 78404-2105
Phone: 3618879995

DR. VICENTE MARIO JUAN (NPI# 1942348719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942348719
Entity Type Individual
Full Name DR. VICENTE MARIO JUAN
Credential MD
Practice Address 1425 Santa Fe
Corpus Christi
TX 78404-2105
Practice Telephone 3618879995
Practice Fax Number 3618878464
Mailing Telephone 3618879995
Mailing Fax Number 3618878464
Enumeration Date 2007-02-02
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery F1691 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX BLUS CROSS BLUE SHIELD 008G86 01
TX 113988301 05

Office Location

Street Address 1425 SANTA FE
City CORPUS CHRISTI
State TX
Zip Code 78404-2105

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942810866 Eileen Michelle Isaacs Social Worker 1315 Sante Fe St. Ste. 215, Corpus Christi, TX 78404 2020-08-05
1386109791 Sanil John Specialist/Technologist, Other South Texas Brain and Spine Centers, 1227 3rd St, Corpus Christi, TX 78404 2019-02-11
1114422599 Paul Jackson Student in an Organized Health Care Education/Training Program 600 Elizabeth St, Gme, Corpus Christi, TX 78404 2018-03-27
1740704303 Edwin Gabriel Otero Student in an Organized Health Care Education/Training Program 600 Elizabeth St # 9b, Corpus Christi, TX 78404 2017-07-26
1053832170 Melissa D Ponder Emergency Medicine 600 Elizabeth St Ste 6b, Corpus Christi, TX 78404 2017-06-28
1821533480 Collen Mora Nurse Practitioner 1533 5th Street, Coprus Christi, TX 78404 2017-01-05
1013365717 Terri L Sutphin Speech-Language Pathologist 1001 Louisiana Ave., Ste #402, Corpus Christi, TX 78404 2016-06-03
1982067872 Janareddy Mandadi Pharmacist 1335 Santa Fe, Shoreline Pharmacy, Corpus Christi, TX 78404 2016-03-30
1932514007 Debra Carpenter Guzman Nurse Practitioner 1600 S Staples, Ste 150, Corpus Christi, TX 78404 2014-06-26
1083037451 Michelle Lynn Freshcoln Talbert Registered Nurse 309 Ohio Ave., Corpus Christi, TX 78404 2014-01-21
Find all providers in zip 78404

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679891766 Matthew J Ficenec, Md, Pa Surgery 1224 3rd St Ste 8, Corpus Christi, TX 78404-2354 2010-05-13
1922169754 Alberto Leonardo Belalcazar Surgery 5638 Saratoga Blvd Ste 104, Corpus Christi, TX 78414-4134 2006-12-13
1831104512 Craig B. Mizes, M.d., P.a. Surgery 613 Elizabeth St Ste 201, Corpus Christi, TX 78404-2221 2006-07-30
1245201409 Paul E Farek Surgery 613 Elizabeth, Ste 811, Corpus Christi, TX 78404 2006-01-27
1134117450 Lloyd H Stegemann Surgery 5826 Esplanade Dr, Suite 102, Corpus Christi, TX 78414-4173 2005-10-11
1720071350 Michael Kuang Hsu Surgery 6133 Parkway, Corpus Christi, TX 78414-2459 2005-08-30
1851834857 Lawrence E Nelson Do Pllc Surgery 2606 Hospital Blvd, Corpus Christi, TX 78405-1833 2016-11-22
1053708784 Michael James Ewing Surgery 6133 Parkway Dr, Corpus Christi, TX 78414-2459 2015-04-21
1427485390 Rishi Dholakia Do Pa Surgery 2606 Hospital Blvd, Corpus Christi, TX 78405-1833 2013-10-08
1922372804 Better Weigh Center Pllc Surgery 5826 Esplanade Dr, Suite 102, Corpus Christi, TX 78414-4173 2012-02-24
Find all providers in CORPUS CHRISTI

Competitor

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City CORPUS CHRISTI
Zip Code 78404

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Dataset Information

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.

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