Provider Demographics
NPI:1346276987
Name:ZUBIETA, JUAN CARLOS (MD MPH)
Entity Type:Individual
Prefix:
First Name:JUAN CARLOS
Middle Name:
Last Name:ZUBIETA
Suffix:
Gender:M
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1485 FM 1960 BYPASS RD E STE 320
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-3965
Mailing Address - Country:US
Mailing Address - Phone:832-644-9595
Mailing Address - Fax:
Practice Address - Street 1:1485 FM 1960 BYPASS RD E STE 320
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3965
Practice Address - Country:US
Practice Address - Phone:832-644-9595
Practice Address - Fax:281-466-4932
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN8747207R00000X, 207RE0101X, 207RC0200X, 207RE0101X
OK30625207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1346276987Medicaid
TX349360YMSKMedicare PIN
TX349360YP78Medicare PIN
MOI49189Medicare UPIN