LUIS CARLOS JR. JUAREZ (PA, DC) – Physician Assistant, NPI 1417130659

LUIS CARLOS JR. JUAREZ (PA, DC) is a healthcare provider. based in Pecos, Texas. specializing in Physician Assistant. They hold the professional credentials PA, DC. They hold a License No. 9454 (TX). The NPI Number for LUIS CARLOS JR. JUAREZ (PA, DC) is 1417130659

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
LUIS CARLOS JR. JUAREZ (PA, DC)
NPI
1417130659
Phone
(432) 447-3551
Address
2323 TEXAS ST
Enumeration Date
11 December 2007
Last Update Date
23 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9563625050
Graduation Year
2007 (19 years ago)
PAC ID
8729219357
Group Practice PAC ID
3476877879
Professional Enrollment ID
I20151231000689
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

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Provider Addresses for LUIS CARLOS JR. JUAREZ (PA, DC)

  • Reeves County Hospital, 2323, Texas Street, Mann, Pecos, Reeves County, Texas, 79772, United States

    PECOS, TX 797727338

    Phone: (432) 447-3551

    Fax: (432) 447-5053

    Type: Mailing

  • 2821 MICHAELANGELO DR STE 102

    EDINBURG, TX 785391411

    Phone: (956) 362-8205

    Fax: (956) 362-8209

    Type: Mailing

  • 5519, Doctor's Drive, Edinburg, Hidalgo County, Texas, 78539, United States

    EDINBURG, TX 785395563

    Phone: (956) 362-2421

    Fax: (956) 362-2429

    Type: Location

  • PO BOX 749

    PHARR, TX 785771614

    Phone: (956) 362-8205

    Fax: (956) 362-8209

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-09-05 • Largest payer in this snapshot: Urgo Medical North America, LLC ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151231000689IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79772)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476877879View full group profile
NameSpecialtyState
Physician AssistantTX
Physician AssistantTX
Orthopedic Surgery, Sports MedicineTX
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
Orthopedic SurgeryTX
Sports Medicine, Pain Management, Family PracticeTX
Orthopedic Surgery, Sports MedicineTX
Orthopedic SurgeryTX

Reviews

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Frequently asked questions

What federal number belongs to LUIS CARLOS JR. JUAREZ (PA, DC)?
The federal identifier for LUIS CARLOS JR. JUAREZ (PA, DC) is NPI 1417130659.
Is LUIS CARLOS JR. JUAREZ (PA, DC) currently active in the NPI registry?
CMS-published data lists LUIS CARLOS JR. JUAREZ (PA, DC) as an active registrant.
What field does LUIS CARLOS JR. JUAREZ (PA, DC) work in?
You can think of LUIS CARLOS JR. JUAREZ (PA, DC) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for LUIS CARLOS JR. JUAREZ (PA, DC)?
The page summarizes Pecos, Texas for LUIS CARLOS JR. JUAREZ (PA, DC); expand the address list for detail.
Is LUIS CARLOS JR. JUAREZ (PA, DC) a real provider?
This page reflects official NPPES data for NPI 1417130659. Always confirm identity and privileges with the practice and licensing boards.

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