Lizlette Quintanilla, REGISTERED DIETITIAN | |
2821 Michaelangelo Dr Ste 102b, Edinburg, TX 78539-1411 | |
(956) 362-5650 | |
(956) 362-2599 |
Full Name | Lizlette Quintanilla |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2821 Michaelangelo Dr Ste 102b, Edinburg, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548648488 | NPI | - | NPPES |
352435701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86049766 (Texas) | Primary |
Provider Name | Renaissance Medical Foundation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467633867 PECOS PAC ID: 1153409867 Enrollment ID: O20080422000326 |
Provider Name | Renaissance Endocrinology |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659709780 PECOS PAC ID: 9234361452 Enrollment ID: O20140422000913 |
Mailing Address | Practice Location Address |
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Lizlette Quintanilla, REGISTERED DIETITIAN Po Box 2646, Mcallen, TX 78502-2646 Ph: (956) 362-5650 | Lizlette Quintanilla, REGISTERED DIETITIAN 2821 Michaelangelo Dr Ste 102b, Edinburg, TX 78539-1411 Ph: (956) 362-5650 |
Yadira Garcia, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2609 Michaelangelo Dr, Edinburg, TX 78539 Phone: 956-362-5650 Fax: 956-362-2574 | |
Mr. Felix Saavedra, R.D. L.D. Dietitian Medicare: Medicare Enrolled Practice Location: 5500 Raphael Dr, Edinburg, TX 78539 Phone: 956-362-5673 Fax: 956-362-2038 | |
Mrs. Rachel Diane Villarreal, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5525 Doctors Dr, Edinburg, TX 78539 Phone: 956-607-4825 | |
Veronica Deleon, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5513 Doctors Dr, Edinburg, TX 78539 Phone: 956-682-6900 Fax: 956-682-8445 | |
Maria E Jaramillo, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3204 S Sugar Rd, Edinburg, TX 78539 Phone: 956-380-0798 | |
Jesus Saldivar, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1901 S 24th Ave, Edinburg, TX 78539 Phone: 956-289-7025 Fax: 956-289-7257 | |
Miss Amanda Celine Tovar, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5525 Doctors Dr, Edinburg, TX 78539 Phone: 956-362-5650 Fax: 956-362-5664 |