| Mr Raul Sustaita, NP | |
|
2010 East Business 83, Donna, TX 78537-3500 | |
| (956) 461-6666 | |
| (956) 461-6670 |
| Full Name | Mr Raul Sustaita |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 22 Years |
| Location | 2010 East Business 83, Donna, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801894704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 649350 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Hospital At Renaissance | Edinburg, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Donna Medical Clinic, Pllc | 1153216734 | 30 |
| Entity Name | Donna Medical Clinic, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144251547 PECOS PAC ID: 1153216734 Enrollment ID: O20040220001097 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Raul Sustaita, NP 2010 East Business 83, Donna, TX 78537-3500 Ph: (956) 461-6666 | Mr Raul Sustaita, NP 2010 East Business 83, Donna, TX 78537-3500 Ph: (956) 461-6666 |
Melinda Barrera, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 307 N Salinas Blvd, Donna, TX 78537 Phone: 956-464-2402 Fax: 956-464-3339 | |
Rogelio Solis Jr., Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 307 N D Salinas Ave, Donna, TX 78537 Phone: 956-464-2402 | |
Jessica Ramos, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 307 N D Salinas Ave, Donna, TX 78537 Phone: 956-464-2402 | |
Anna Balli Coronado, MSN, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1704 Scobey Ave, Donna, TX 78537 Phone: 956-461-2150 | |
Brianda Amairany Martinez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1205 Hooks Ave, Donna, TX 78537 Phone: 956-377-5949 | |
Pearl Divinagracia Katz, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 313 N D Salinas Ave Ste B, Donna, TX 78537 Phone: 956-461-2150 Fax: 956-461-2014 | |
Maria Del Carmen Silva, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2010 E Business Highway 83, Donna, TX 78537 Phone: 956-461-6666 Fax: 956-461-6670 |