OrganizationActive
Clinica Latina Familiar 1 LLC
NPI 1790556710 · Family Nurse Practitioner · Waller, TX
Provider details
- NPI number
- 1790556710
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Maydelis Suarez, Medical Provider(386) 205-4365
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
31315 Fm 2920 Rd Ste 9
Waller, TX 77484-8021
Phone: (936) 372-3000
Fax: (936) 372-3009
Street-level locationGet directions
Mailing address
31315 Fm 2920 Rd Ste 9
Waller, TX 77484-8021
Registry dates
- Enumerated
- 2024-01-09
- Last updated
- 2024-01-09
- Certified
- 2024-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.