Provider Demographics
NPI:1427339910
Name:SAN JUANITA G. HINOJOSA
Entity type:Organization
Organization Name:SAN JUANITA G. HINOJOSA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGEMENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAN JUANITA
Authorized Official - Middle Name:G
Authorized Official - Last Name:HINOJOSA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW-IPR
Authorized Official - Phone:956-821-2711
Mailing Address - Street 1:1118 LOYOLA DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78541-5189
Mailing Address - Country:US
Mailing Address - Phone:956-821-2711
Mailing Address - Fax:956-287-4880
Practice Address - Street 1:1118 LOYOLA DR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78541-5189
Practice Address - Country:US
Practice Address - Phone:956-821-2711
Practice Address - Fax:956-287-4880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-29
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32006251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management