| San Juan Family Clinic | |
|
417 W Fm 495 San Juan TX 78589-3717 | |
| (956) 783-7088 | |
| (956) 783-5657 |
| Full Name | San Juan Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 417 W Fm 495, San Juan, Texas |
| Authorized Official Name and Position | John W Hovorka (PRESIDENT) |
| Authorized Official Contact | 9569929161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Juan Family Clinic 417 W Fm 495 San Juan TX 78589-3717 Ph: (956) 783-7088 | San Juan Family Clinic 417 W Fm 495 San Juan TX 78589-3717 Ph: (956) 783-7088 |
| NPI Number | 1922564863 |
|---|---|
| Provider Enumeration Date | 02/15/2019 |
| Last Update Date | 06/24/2022 |
| Medicare PECOS PAC ID | 6800127507 |
|---|---|
| Medicare Enrollment ID | O20191010002120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922564863 | NPI | - | NPPES |
| 404748202 | Medicaid | TX | |
| 866001 | Other | TX | MEDICARE |
| 404748201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ivan G Melendez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568447233 PECOS PAC ID: 2769375385 Enrollment ID: I20050119000434 |
| Provider Name | Mario Luis Vasquez Aguilar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275846156 PECOS PAC ID: 3375723893 Enrollment ID: I20110215000712 |
| Provider Name | Cinimol Teju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457944878 PECOS PAC ID: 8921415423 Enrollment ID: I20210330000917 |
| Provider Name | Sofia Berenice Barbosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073111555 PECOS PAC ID: 9032577226 Enrollment ID: I20230621000039 |
Nuestra Clinica Del Valle, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 806 W 3rd St, San Juan, TX 78589 Phone: 956-787-8915 Fax: 956-787-2021 | |
Baca Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 722 S Nebraska Ave, San Juan, TX 78589 Phone: 956-884-7100 Fax: 956-884-7784 | |
Nelson A Mata Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 South Nebraska, San Juan, TX 78589 Phone: 956-121-0663 Fax: 956-787-2666 | |
Yuri O. Bermudez, M.d. Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 N Nebraska Ave, San Juan, TX 78589 Phone: 956-223-0699 Fax: 717-482-5495 | |
Villarreal Medical Center, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3006 N Raul Longoria Rd, San Juan, TX 78589 Phone: 956-283-9800 Fax: 956-283-7020 | |
Pinnacle Health Med, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 N Raul Longoria Rd, Ste. P, San Juan, TX 78589 Phone: 956-702-4255 Fax: 956-702-4779 | |
San Juan Family Primary Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 W Fm 495, San Juan, TX 78589 Phone: 956-783-7088 |