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SAN JUAN FAMILY PRIMARY CARE CLINIC
NPI 1619608338
Family Medicine in San Juan, TX

Active since June 22, 2022CLIA 45D0881212 · Waiver
417 W FM 495, SAN JUAN, TX 78589(956) 783-7088 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About San Juan Family Primary Care Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN JUAN FAMILY PRIMARY CARE CLINIC (NPI 1619608338) is a healthcare organization registered as a family medicine in San Juan, Texas and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Mario Aguilar, Director, as its authorized official.

NPPES Registry Identity

NPI1619608338
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAN JUAN FAMILY PRIMARY CARE CLINIC
Location Address417 W FM 495San Juan, TX 78589-3717
Mailing AddressPo Box 6208Mcallen, TX 78502-6208
Phone(956) 783-7088
Organization SubpartNo
Authorized OfficialMario AguilarDirector · (917) 733-2815
Enumeration DateJune 22, 2022
NPPES CertifiedJune 22, 2022
✔ NPI 1619608338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

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.

417 W FM 495, San Juan, TX 78589
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0881212

San Juan Family Clinic · San Juan, TX
Active · expires Jan 24, 2028
CLIA Number45D0881212
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorMario Vasquez
Laboratory Phone(956) 783-7088
Laboratory LocationSan Juan Family Clinic417 W Fm 495, San Juan, TX 78589
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ESTELA POMPA RIOS FNP-C
Nurse Practitioner (Family)
417 W FM 495
SAN JUAN, TX 78589
Hidalgo County (956) 783-7088
SOUTH TEXAS FOOT CARE PLLC
Podiatrist (Foot & Ankle Surgery)
417 W FM 495
SAN JUAN, TX 78589
Hidalgo County (956) 783-7088
DR AMERICO M BACA PLLC
Family Medicine
417 W FM 495
SAN JUAN, TX 78589
Hidalgo County (956) 783-7088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Juan Family Primary Care Clinic's NPI number?

The NPI number for San Juan Family Primary Care Clinic is 1619608338. It was assigned to this organization in the NPPES registry on June 22, 2022.

Where is San Juan Family Primary Care Clinic located?

San Juan Family Primary Care Clinic is located at 417 W Fm 495, San Juan, TX 78589. The listed phone number is (956) 783-7088.

What is San Juan Family Primary Care Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does San Juan Family Primary Care Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0881212) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Juan Family Primary Care Clinic was last updated on June 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.