| Rio Grande Medicine, Inc | |
|
5505 S Expressway 77 Ste 205 Harlingen TX 78550-3222 | |
| (956) 421-2757 | |
| (956) 421-2787 |
| Full Name | Rio Grande Medicine, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5505 S Expressway 77 Ste 205, Harlingen, Texas |
| Authorized Official Name and Position | Julio A Savinon (PRESIDENT) |
| Authorized Official Contact | 9564212757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rio Grande Medicine, Inc 5505 S Expressway 77 Ste 205 Harlingen TX 78550-3222 Ph: (956) 421-2757 | Rio Grande Medicine, Inc 5505 S Expressway 77 Ste 205 Harlingen TX 78550-3222 Ph: (956) 421-2757 |
| NPI Number | 1114051091 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 07/31/2019 |
| Medicare PECOS PAC ID | 1658356704 |
|---|---|
| Medicare Enrollment ID | O20040622001258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114051091 | NPI | - | NPPES |
| 167926802 | Medicaid | TX | |
| 0073LW | Other | TX | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K1656 (Texas) | Primary |
| Provider Name | Julio A Savinon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851357354 PECOS PAC ID: 7315022530 Enrollment ID: I20080312000562 |
| Provider Name | Maricruz R Bloomquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588971881 PECOS PAC ID: 0446406292 Enrollment ID: I20120809000448 |
| Provider Name | Kady M Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336694199 PECOS PAC ID: 1850673195 Enrollment ID: I20170123001487 |
| Provider Name | Eddy Enmanuel Berges Chez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275080103 PECOS PAC ID: 3779904206 Enrollment ID: I20200609000572 |
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