CLINICA HAVANA
NPI 1679270623
Nurse Practitioner - Family in Houston, TX

Active since February 09, 2023
715 TELEPHONE RD, HOUSTON, TX 77023(832) 871-4777(832) 871-4776 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2023, Feb 9, 2023 (2 updates tracked since 2023).

About Clinica Havana NPPES

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

CLINICA HAVANA (NPI 1679270623) is a healthcare organization registered as a family in Houston, Texas and active in the NPI registry since February 2023. The organization lists Norbe Luis Basulto Barcelay, Director, as its authorized official.

NPPES Registry Identity

NPI1679270623
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHAVANA MEDICAL GROUP CORP
Location Address715 TELEPHONE RDHouston, TX 77023-3117
Mailing Address715 Telephone RdHouston, TX 77023-3117 · (832) 871-4777 · Fax (832) 871-4776
Fax(832) 871-4776
Organization SubpartNo
Authorized OfficialNorbe Luis Basulto BarcelayDirector · (786) 556-8819
Enumeration DateFebruary 9, 2023
Last NPPES UpdateMarch 31, 20232 updates tracked since enumeration
NPPES CertifiedMarch 31, 2023
NPI 1679270623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
715 TELEPHONE RD, Houston, TX 77023

Other Names 1

Doing Business AsClinica Havana

Other Identifiers 6

Other1861628505TX · Molina
Medicaid1861628505TX
Other1861628505Aetna
Other1861628505TX · Community Health Choice
Other1861628505TX · Blue Cross Blue Shield
Other1861628505TX · United Health Care

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
715 TELEPHONE RD
HOUSTON, TX 77023

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 Havana Medical Group Corp's NPI number?

The NPI number for Havana Medical Group Corp is 1679270623. It was assigned to this organization in the NPPES registry on February 9, 2023. The provider is doing business as Clinica Havana.

Where is Havana Medical Group Corp located?

Havana Medical Group Corp is located at 715 Telephone Rd, Houston, TX 77023. The listed phone number is (832) 871-4777.

What is Havana Medical Group Corp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Havana Medical Group Corp was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.