MEDICARE: GRACEPOINT HEALTHCARE ASSOCIATES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1104705805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACEPOINT HEALTHCARE ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	4345 N EXPRESSWAY STE 800
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78520-7188
Country	:	US
Telephone Number	:	956-801-2500
Fax Number	:

Provider Business Practice Location Address
First Line	:	4345 N EXPRESSWAY STE 800
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78520-7188
Country	:	US
Telephone Number	:	956-801-2500
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. JORGE CARLOS MAZZINI PEREZ-REYES
Credential	:	MD
Telephone Number	:	956-801-2500

Provider Enumeration Date	:	08/28/2025
Last Update Date	:	03/09/2026

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