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EN AQUELLOS TIEMPOS INC. NPI 1700158524


NPI Information

NPI: 1700158524
Provider Name: EN AQUELLOS TIEMPOS, INC.
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
1209 E FM 495
SUITE 1-3
SAN JUAN, TX
ZIP 78589
Phone: (956) 702-8833
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EN AQUELLOS TIEMPOS, INC. is an adult day care clinic center in San Juan, TX. EN AQUELLOS TIEMPOS, INC. NPI is 1700158524. The provider is registered as an organization entity type.

The provider's business location address is:

1209 E FM 495
SUITE 1-3
SAN JUAN, TX
ZIP 78589-863
Phone: (956) 702-8833
Fax: (956) 702-8844

The provider's authorized official is Joanne Michelle Martinez .
The authorized official title is Owner/director and has the following contact phone number (956) 702-8833.

The enumeration date for this NPI number is 2/9/2012 and was last updated on 2/9/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA0600XClinic/CenterAdult Day Care133041TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001017838MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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