| Renaissance Endocrinology | |
|
5501 S Mccoll Rd Edinburg TX 78539-9152 | |
| (956) 362-2171 | |
| (956) 362-2132 |
| Full Name | Renaissance Endocrinology |
|---|---|
| Speciality | Clinic/Center |
| Location | 5501 S Mccoll Rd, Edinburg, Texas |
| Authorized Official Name and Position | Ada X Gonzalez (ADMINISTRATOR) |
| Authorized Official Contact | 9563622171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Endocrinology Po Box 2646 Mcallen TX 78502-2646 Ph: (956) 362-2171 | Renaissance Endocrinology 5501 S Mccoll Rd Edinburg TX 78539-9152 Ph: (956) 362-2171 |
| NPI Number | 1659709780 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 08/29/2022 |
| Medicare PECOS PAC ID | 9234361452 |
|---|---|
| Medicare Enrollment ID | O20140422000913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659709780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Marcel B Twahirwa |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841381167 PECOS PAC ID: 3173506896 Enrollment ID: I20040611001058 |
| Provider Name | Samuel K Snyder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386606606 PECOS PAC ID: 6901948249 Enrollment ID: I20100125000201 |
| Provider Name | Adrienne M Casciato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538445788 PECOS PAC ID: 2365619616 Enrollment ID: I20120127000135 |
| Provider Name | Michelle L Cordoba Kissee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831381458 PECOS PAC ID: 6204975444 Enrollment ID: I20130926000408 |
| Provider Name | Aida Coronado Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992131486 PECOS PAC ID: 4688897648 Enrollment ID: I20140520000109 |
| Provider Name | Melany Castillo Suarez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538487921 PECOS PAC ID: 0547570608 Enrollment ID: I20151103000303 |
| Provider Name | Lizlette Quintanilla |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548648488 PECOS PAC ID: 7719297704 Enrollment ID: I20151103001674 |
| Provider Name | Jose Gamez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992952758 PECOS PAC ID: 8820386634 Enrollment ID: I20161011002309 |
| Provider Name | Juan D Palacios Merchan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811284078 PECOS PAC ID: 1153606033 Enrollment ID: I20170315001150 |
| Provider Name | Surya Narayan Mulukutla |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568690865 PECOS PAC ID: 6103190061 Enrollment ID: I20170916000492 |
| Provider Name | Mindy Ann Garces |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598235806 PECOS PAC ID: 1052657970 Enrollment ID: I20190115001125 |
| Provider Name | Maria Belen Naranjo Palacio |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164806360 PECOS PAC ID: 4688912769 Enrollment ID: I20210415001521 |
| Provider Name | Mohammed Waleed Jeraq |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861887606 PECOS PAC ID: 5395126684 Enrollment ID: I20220718002628 |
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Primary Care Group At Renaissance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5501 S Mccoll Rd, Edinburg, TX 78539 Phone: 956-362-2171 Fax: 956-362-2132 |