| Renaissance Medical Foundation | |
|
5501 S Mccoll Rd Edinburg TX 78539-9152 | |
| (956) 362-3300 | |
| (956) 362-7684 |
| Full Name | Renaissance Medical Foundation |
|---|---|
| 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 Medical Foundation Po Box 749 Pharr TX 78577-1614 Ph: (956) 362-2171 | Renaissance Medical Foundation 5501 S Mccoll Rd Edinburg TX 78539-9152 Ph: (956) 362-3300 |
| NPI Number | 1467633867 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 08/29/2022 |
| Medicare PECOS PAC ID | 1153409867 |
|---|---|
| Medicare Enrollment ID | O20080422000326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467633867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Laurence R Bower |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659478303 PECOS PAC ID: 5395659940 Enrollment ID: I20031118000568 |
| Provider Name | Gauri G Kanhere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710910773 PECOS PAC ID: 3274429030 Enrollment ID: I20040226001224 |
| Provider Name | Rolando A Guerrero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649288259 PECOS PAC ID: 2163312885 Enrollment ID: I20040317000664 |
| Provider Name | Emilia C Dulgheru |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1407850100 PECOS PAC ID: 4082696661 Enrollment ID: I20040607000920 |
| Provider Name | Robert R Reyes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295756955 PECOS PAC ID: 4688658339 Enrollment ID: I20040617001740 |
| Provider Name | Manual A Seas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225107246 PECOS PAC ID: 9931184512 Enrollment ID: I20040618001060 |
| Provider Name | Efraim Vela |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912079401 PECOS PAC ID: 1759291800 Enrollment ID: I20040825000524 |
| Provider Name | Fuad Zayed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356342190 PECOS PAC ID: 1355323544 Enrollment ID: I20040917000547 |
| Provider Name | Javier D Margo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356358915 PECOS PAC ID: 0345219929 Enrollment ID: I20040930000141 |
| Provider Name | Cynthia A Garcia |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952394611 PECOS PAC ID: 5092776807 Enrollment ID: I20041025000979 |
| Provider Name | Jose A Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053383810 PECOS PAC ID: 8527018605 Enrollment ID: I20050126000756 |
| Provider Name | Sung E Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992759849 PECOS PAC ID: 0648214650 Enrollment ID: I20050610000373 |
| Provider Name | Marissa I Gomez-martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407823248 PECOS PAC ID: 9638114697 Enrollment ID: I20050621001014 |
| Provider Name | Raul F Ledesma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528137551 PECOS PAC ID: 3476598913 Enrollment ID: I20050624000214 |
| Provider Name | Enrique N Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790854750 PECOS PAC ID: 1759280662 Enrollment ID: I20050715000522 |
| Provider Name | Eduardo E Robles-emanuelli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740229251 PECOS PAC ID: 4688601099 Enrollment ID: I20050718000637 |
| Provider Name | Oscar E Mendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871565622 PECOS PAC ID: 7719916121 Enrollment ID: I20050805000683 |
| Provider Name | James W Castillo Ii |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1063401776 PECOS PAC ID: 6608801998 Enrollment ID: I20051005000968 |
| Provider Name | Sarada Gummadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740235662 PECOS PAC ID: 2163434184 Enrollment ID: I20060612000180 |
| Provider Name | Sarah Rodriguez |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144278151 PECOS PAC ID: 3779586276 Enrollment ID: I20060823000530 |
| Provider Name | Fernando Enrique Membreno |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942233929 PECOS PAC ID: 0244131845 Enrollment ID: I20060920000255 |
| Provider Name | Patricia M Fernandez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699870717 PECOS PAC ID: 3870554181 Enrollment ID: I20061122000194 |
| Provider Name | Lee C Drinkard |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487757084 PECOS PAC ID: 1759274277 Enrollment ID: I20061205000609 |
| Provider Name | Constantine I Ohabor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093819682 PECOS PAC ID: 5395847453 Enrollment ID: I20070221000266 |
| Provider Name | Ruben G Mohme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376614396 PECOS PAC ID: 7113001710 Enrollment ID: I20080221000238 |
| Provider Name | Jose D Bejarano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518168772 PECOS PAC ID: 7810068855 Enrollment ID: I20080618000363 |
| Provider Name | Juan M Padilla Maiz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770571416 PECOS PAC ID: 4880675388 Enrollment ID: I20081112000236 |
| Provider Name | Rajeev K Mathavan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790705200 PECOS PAC ID: 6709815434 Enrollment ID: I20090112000386 |
| Provider Name | Jose Almeda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144438383 PECOS PAC ID: 7214038025 Enrollment ID: I20090723000277 |
| Provider Name | Peter M Buffa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073765087 PECOS PAC ID: 9739228149 Enrollment ID: I20091124000549 |
| Provider Name | Saroja Viswamitra |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598764292 PECOS PAC ID: 3779476106 Enrollment ID: I20100115000200 |
| Provider Name | Philip G Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881781169 PECOS PAC ID: 9739223728 Enrollment ID: I20100215000076 |
| Provider Name | Miguel A Gutierrez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922005438 PECOS PAC ID: 0941335764 Enrollment ID: I20100318000737 |
| Provider Name | Juan Jose Salazar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003804741 PECOS PAC ID: 0143358697 Enrollment ID: I20100504000838 |
| Provider Name | Roberto D Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275597593 PECOS PAC ID: 9133257298 Enrollment ID: I20100511000324 |
| Provider Name | Zuka A Khabbazeh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144420266 PECOS PAC ID: 4082522016 Enrollment ID: I20100618000374 |
| Provider Name | Brian Philip Perry |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619915832 PECOS PAC ID: 4688779986 Enrollment ID: I20100809000870 |
| Provider Name | Celia E Pantoja Rojas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659496180 PECOS PAC ID: 2365535861 Enrollment ID: I20100928000737 |
| Provider Name | Santhi Penmetsa |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1528148947 PECOS PAC ID: 2264629666 Enrollment ID: I20101210000903 |
| Provider Name | Henrietta Jeanette Peynado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023310596 PECOS PAC ID: 4486837747 Enrollment ID: I20110323000745 |
| Provider Name | Inad B Atassi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851493571 PECOS PAC ID: 4385793462 Enrollment ID: I20110801000579 |
| Provider Name | Simon Milov |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891906483 PECOS PAC ID: 7012189053 Enrollment ID: I20111017000424 |
| Provider Name | Armando Moncada |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730150707 PECOS PAC ID: 6204083348 Enrollment ID: I20120824000746 |
| Provider Name | Mourad Mousa Alsabbagh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124240890 PECOS PAC ID: 9638270069 Enrollment ID: I20121030000174 |
| Provider Name | Jorge A Montes |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679707269 PECOS PAC ID: 4587803408 Enrollment ID: I20130625000310 |
| Provider Name | Adriana Martinez-wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922328806 PECOS PAC ID: 1153564752 Enrollment ID: I20130829000758 |
| Provider Name | Ayda Garza Montalvo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295762268 PECOS PAC ID: 7315121951 Enrollment ID: I20140106000820 |
| Provider Name | Cristela Hernandez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952356586 PECOS PAC ID: 0345336186 Enrollment ID: I20140107000607 |
| Provider Name | Kedak Zovac Baltajian |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1992073258 PECOS PAC ID: 5991954935 Enrollment ID: I20150826001426 |
| Provider Name | Gerie L Glidden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104200476 PECOS PAC ID: 2668781667 Enrollment ID: I20151014000232 |
| 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 | Dennise Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942670146 PECOS PAC ID: 3678883584 Enrollment ID: I20151105000354 |
| Provider Name | Manish Lambat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063668176 PECOS PAC ID: 5496050585 Enrollment ID: I20160229000098 |
| Provider Name | Paul Dominici |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770787699 PECOS PAC ID: 8022295963 Enrollment ID: I20160512001734 |
| Provider Name | Arturo Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649563925 PECOS PAC ID: 8426270950 Enrollment ID: I20160725000138 |
| Provider Name | Adrian Salinas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730445628 PECOS PAC ID: 3476847047 Enrollment ID: I20160804000200 |
| Provider Name | Naomi D Acolatse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073855698 PECOS PAC ID: 0042531741 Enrollment ID: I20160811002367 |
| Provider Name | Delisa Guadarrama |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356637227 PECOS PAC ID: 6103106745 Enrollment ID: I20161216001612 |
| Provider Name | Jason Angel Moreno |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356890925 PECOS PAC ID: 5597047308 Enrollment ID: I20170131000175 |
| Provider Name | Dimple P Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053722611 PECOS PAC ID: 0345524963 Enrollment ID: I20170228000170 |
| Provider Name | Brandy Nicole Salinas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972040160 PECOS PAC ID: 2769766831 Enrollment ID: I20170309001098 |
| Provider Name | Sigifredo Perez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942748264 PECOS PAC ID: 7315222742 Enrollment ID: I20170327000131 |
| Provider Name | Maria Graciela Quintos Reyes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568994747 PECOS PAC ID: 5698051050 Enrollment ID: I20170419001620 |
| Provider Name | Mauricio De La Garza Camargo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1336377563 PECOS PAC ID: 6709180417 Enrollment ID: I20170421000232 |
| Provider Name | Roberto Munoz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700291838 PECOS PAC ID: 4486959780 Enrollment ID: I20170608001811 |
| Provider Name | Gloria P Simms |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164651352 PECOS PAC ID: 6800030206 Enrollment ID: I20170626000405 |
| Provider Name | Eduardo Estevis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003977554 PECOS PAC ID: 8729359971 Enrollment ID: I20170805000222 |
| Provider Name | Angela Marie Christensen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1699031278 PECOS PAC ID: 9830464866 Enrollment ID: I20171002001180 |
| Provider Name | Pamela Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073037354 PECOS PAC ID: 7618242207 Enrollment ID: I20171007000043 |
| Provider Name | Aidee C Nunez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609386051 PECOS PAC ID: 3375819964 Enrollment ID: I20171026001349 |
| Provider Name | Jose M. Garza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730446816 PECOS PAC ID: 2365750015 Enrollment ID: I20171221000839 |
| Provider Name | Jessica Garza Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245730670 PECOS PAC ID: 4385905421 Enrollment ID: I20180306000807 |
| Provider Name | Jessica Renee Garza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780189829 PECOS PAC ID: 5092078840 Enrollment ID: I20180410001104 |
| Provider Name | Adrian Paolo Agapito |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790123495 PECOS PAC ID: 8426348905 Enrollment ID: I20180507001680 |
| Provider Name | Carlos Alberto Paris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295113611 PECOS PAC ID: 1557659471 Enrollment ID: I20180515002109 |
| Provider Name | Achal Parsotam Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265723019 PECOS PAC ID: 1355620527 Enrollment ID: I20180604002027 |
| Provider Name | Michelle Denise Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922591189 PECOS PAC ID: 9931455722 Enrollment ID: I20180710000528 |
| Provider Name | Roberto A Ayres |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053312009 PECOS PAC ID: 7810246899 Enrollment ID: I20180824000344 |
| Provider Name | Ally Cherian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598264038 PECOS PAC ID: 2163771148 Enrollment ID: I20180824000479 |
| Provider Name | Sujan Gogu |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1407268162 PECOS PAC ID: 8729357116 Enrollment ID: I20180912001243 |
| Provider Name | Fawzi Saoud |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497003917 PECOS PAC ID: 7810259256 Enrollment ID: I20190523001575 |
| Provider Name | Melecio Jesus Medina |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114347606 PECOS PAC ID: 3072856491 Enrollment ID: I20190528000565 |
| Provider Name | David Antonio Mateo De Acosta Andino |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1346553609 PECOS PAC ID: 2668793274 Enrollment ID: I20190604000655 |
| Provider Name | Jorge-jayme Montes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568824878 PECOS PAC ID: 3779878145 Enrollment ID: I20190604000996 |
| Provider Name | Roberto Alejandro Cruz Saldana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285016899 PECOS PAC ID: 3577866722 Enrollment ID: I20190612000438 |
| Provider Name | Griselda Escajeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902389307 PECOS PAC ID: 5799018347 Enrollment ID: I20190613000622 |
| Provider Name | Paul Nangoh Elangwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700225893 PECOS PAC ID: 1951696046 Enrollment ID: I20190916001646 |
| Provider Name | David Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073046579 PECOS PAC ID: 9436572450 Enrollment ID: I20200709002655 |
| Provider Name | Mariam Washington |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1942696737 PECOS PAC ID: 8325343312 Enrollment ID: I20200714000395 |
| Provider Name | Terence Herman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1124097498 PECOS PAC ID: 9133135718 Enrollment ID: I20201021000080 |
| Provider Name | Jacinto I Manon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326246638 PECOS PAC ID: 8527201789 Enrollment ID: I20210526003450 |
| Provider Name | Shravan Kumar Narmala |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700071008 PECOS PAC ID: 0345460150 Enrollment ID: I20210601001683 |
| Provider Name | Leonel Jorge Favio Estofan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417339409 PECOS PAC ID: 1658677653 Enrollment ID: I20210615000979 |
| Provider Name | Relindis Neh-awah Azenwi Fru |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841687415 PECOS PAC ID: 4688076045 Enrollment ID: I20210708001415 |
| Provider Name | Dalia Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902457302 PECOS PAC ID: 5890197784 Enrollment ID: I20210715000255 |
| Provider Name | Alexander Chase Castillo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1962822684 PECOS PAC ID: 9739467481 Enrollment ID: I20210804000716 |
| Provider Name | Julian Velez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1700248945 PECOS PAC ID: 6305184219 Enrollment ID: I20210831000825 |
| Provider Name | Felipe Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851896807 PECOS PAC ID: 0446657829 Enrollment ID: I20210928001606 |
| Provider Name | Jose Cruz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942629001 PECOS PAC ID: 2062737273 Enrollment ID: I20211012000258 |
| Provider Name | Elizabeth Juarez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306385059 PECOS PAC ID: 3173912565 Enrollment ID: I20211104002041 |
| Provider Name | Andrew Warejko Phillips |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770849820 PECOS PAC ID: 7214247808 Enrollment ID: I20211116003205 |
| Provider Name | Genesis Salgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568941490 PECOS PAC ID: 3375934003 Enrollment ID: I20220106001415 |
| Provider Name | James Salvante Choa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336384668 PECOS PAC ID: 1658764188 Enrollment ID: I20220207000129 |
| Provider Name | Magdelene Mae Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154091965 PECOS PAC ID: 7517351547 Enrollment ID: I20220308001243 |
| Provider Name | Teresa Alonzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194487934 PECOS PAC ID: 4981099124 Enrollment ID: I20220324002034 |
| Provider Name | Rick Noel M Centeno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134752199 PECOS PAC ID: 2961889076 Enrollment ID: I20220511000964 |
| Provider Name | Marissa Jane Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346983137 PECOS PAC ID: 4486031036 Enrollment ID: I20220519002353 |
| Provider Name | Dayana Carreras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912469727 PECOS PAC ID: 1658751193 Enrollment ID: I20220630001393 |
| Provider Name | Andres Alberto Saenz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205327699 PECOS PAC ID: 6305226218 Enrollment ID: I20220709000829 |
| Provider Name | Joel Fernando Garza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780146787 PECOS PAC ID: 8729315916 Enrollment ID: I20220711001075 |
| Provider Name | Martin Mochoge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205599073 PECOS PAC ID: 7719368653 Enrollment ID: I20220722002272 |
| Provider Name | Amanda Wright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932337474 PECOS PAC ID: 5294969317 Enrollment ID: I20220901002210 |
| Provider Name | Victor Zamora Legoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902368509 PECOS PAC ID: 6204210339 Enrollment ID: I20220908001804 |
| Provider Name | Jessica Dina Vinluan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609593698 PECOS PAC ID: 8224405527 Enrollment ID: I20221028002247 |
| Provider Name | Jennifer Perales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992413181 PECOS PAC ID: 4880063841 Enrollment ID: I20221214000033 |
| Provider Name | Ivan Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437672995 PECOS PAC ID: 4789092750 Enrollment ID: I20221214001395 |
| Provider Name | Ali Kilic |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1689905127 PECOS PAC ID: 5597903450 Enrollment ID: I20221227002527 |
| Provider Name | Angela J Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811504160 PECOS PAC ID: 6103296009 Enrollment ID: I20230111001329 |
| Provider Name | Nelson Domingo Cepeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598477317 PECOS PAC ID: 6305218181 Enrollment ID: I20230203000504 |
| Provider Name | Nathan Tanner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467081323 PECOS PAC ID: 0345612156 Enrollment ID: I20230203001562 |
| Provider Name | Emily Marie Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215640081 PECOS PAC ID: 5698147056 Enrollment ID: I20230211000403 |
| Provider Name | Rebecca Lyn Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386379642 PECOS PAC ID: 5890151047 Enrollment ID: I20230515001905 |
| Provider Name | Claire Elaine Givilancz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891486056 PECOS PAC ID: 8820455876 Enrollment ID: I20230606002650 |
| Provider Name | Edith Martinez |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285326413 PECOS PAC ID: 5597122333 Enrollment ID: I20230608003468 |
| Provider Name | Miguel Angel Trejo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124712260 PECOS PAC ID: 2365800554 Enrollment ID: I20230620003333 |
| Provider Name | Amanda Marie Bahr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316519382 PECOS PAC ID: 1153789201 Enrollment ID: I20230621002508 |
| Provider Name | Jose Luis Valdes Bracamontes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154853570 PECOS PAC ID: 5496092520 Enrollment ID: I20230630002163 |
| Provider Name | Juan Pablo Pauta Martinez |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1417311671 PECOS PAC ID: 6901190149 Enrollment ID: I20230711004140 |
| Provider Name | Mini Vinoj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275210916 PECOS PAC ID: 9032570999 Enrollment ID: I20230725003913 |
| Provider Name | Ans Abdulrahman Albustamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831713445 PECOS PAC ID: 6709248743 Enrollment ID: I20230808003272 |
| Provider Name | Cynthia Navyd Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588449722 PECOS PAC ID: 5799149027 Enrollment ID: I20230919003842 |
| Provider Name | Emily Lorraine Partida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114707114 PECOS PAC ID: 3375999675 Enrollment ID: I20231023002341 |
| Provider Name | Juan Ed Torres-reveron |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689858706 PECOS PAC ID: 0648586172 Enrollment ID: I20240119004081 |
| Provider Name | Eduardo Fernandes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407619109 PECOS PAC ID: 2961846233 Enrollment ID: I20240215000794 |
| Provider Name | Janessa Gorena Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922709740 PECOS PAC ID: 1850735366 Enrollment ID: I20240222003018 |
| Provider Name | Jaclyn Mugica |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184395774 PECOS PAC ID: 2769826221 Enrollment ID: I20240223000269 |
| Provider Name | Eduardo Andres Morin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467213199 PECOS PAC ID: 4385089887 Enrollment ID: I20240223002383 |
| Provider Name | Armando Vasquez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295280733 PECOS PAC ID: 4486099827 Enrollment ID: I20240226001886 |
| Provider Name | Claudia Zacarias |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629470596 PECOS PAC ID: 0345685632 Enrollment ID: I20240226004152 |
| Provider Name | Gabriela Valenzuela |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912242553 PECOS PAC ID: 7416392774 Enrollment ID: I20240227002350 |
Palacios & Casso Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2722 W Canton Rd, Edinburg, TX 78539 Phone: 956-383-4157 Fax: 956-383-5457 | |
Allied Therapy And Diagnostics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2637 Cornerstone Blvd, Edinburg, TX 78539 Phone: 281-395-4121 | |
Sobia Nasir Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 702 W University Dr, Edinburg, TX 78539 Phone: 956-383-0714 Fax: 956-383-4222 | |
Primecare Family Medicine And Wellness Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4422 S Mccoll Rd, Edinburg, TX 78539 Phone: 908-251-3017 | |
Marilyn Asistores Quilon, Md.pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 S Closner Blvd, Edinburg, TX 78539 Phone: 956-316-0860 | |
David Schnaiderman Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4631 S Jackson Rd, Edinburg, TX 78539 Phone: 956-271-0660 Fax: 956-525-4211 | |
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 |