| Suvida Healthcare Npho | |
|
211 E 7th St Ste 700 Austin TX 78701-3218 | |
| (346) 639-3438 | |
| Not Available |
| Full Name | Suvida Healthcare Npho |
|---|---|
| Speciality | Clinic/Center |
| Location | 211 E 7th St Ste 700, Austin, Texas |
| Authorized Official Name and Position | Omar Matuk-villazan (CEO) |
| Authorized Official Contact | 5026382736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suvida Healthcare Npho 211 E 7th St Ste 700 Austin TX 78701-3218 Ph: () - | Suvida Healthcare Npho 211 E 7th St Ste 700 Austin TX 78701-3218 Ph: (346) 639-3438 |
| NPI Number | 1033842414 |
|---|---|
| Provider Enumeration Date | 07/05/2022 |
| Last Update Date | 08/15/2022 |
| Medicare PECOS PAC ID | 8325423650 |
|---|---|
| Medicare Enrollment ID | O20220922000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033842414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Flora Edison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134192974 PECOS PAC ID: 9830089465 Enrollment ID: I20040317001421 |
| Provider Name | Gonzalo Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518146851 PECOS PAC ID: 7012097934 Enrollment ID: I20080104000423 |
| Provider Name | Ana M Molina-anstee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053515635 PECOS PAC ID: 0648348235 Enrollment ID: I20081009000354 |
| Provider Name | Adriana Salas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225334808 PECOS PAC ID: 7517142573 Enrollment ID: I20110506000495 |
| Provider Name | Adolfo Jose Ordonez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437457660 PECOS PAC ID: 0042484719 Enrollment ID: I20111114000839 |
| Provider Name | Marshall Robert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538101605 PECOS PAC ID: 8527979731 Enrollment ID: I20120606000100 |
| Provider Name | Javier A Diago Benjumea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740587211 PECOS PAC ID: 0244469237 Enrollment ID: I20140218000181 |
| Provider Name | Laura Carvalho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649603408 PECOS PAC ID: 8628290491 Enrollment ID: I20141111000816 |
| Provider Name | Juan Vaquerano Rais |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578810958 PECOS PAC ID: 9931429156 Enrollment ID: I20150528002649 |
| Provider Name | Omar Matuk-villazon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184938722 PECOS PAC ID: 5395960777 Enrollment ID: I20151112000874 |
| Provider Name | Cristiana Angelelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083962450 PECOS PAC ID: 2769785013 Enrollment ID: I20160121000404 |
| Provider Name | Rita A Zapien Miles |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184055527 PECOS PAC ID: 0749589455 Enrollment ID: I20160502001826 |
| Provider Name | Raymond Dayle Donato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184083792 PECOS PAC ID: 1759660186 Enrollment ID: I20161108000361 |
| Provider Name | Eduardo Valdes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831506179 PECOS PAC ID: 5698045227 Enrollment ID: I20170714000753 |
| Provider Name | Pedro Alvarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215261144 PECOS PAC ID: 6305110909 Enrollment ID: I20170920002792 |
| Provider Name | Cindy Samantha Campos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962905901 PECOS PAC ID: 5496000762 Enrollment ID: I20180611001574 |
| Provider Name | Stephanie Seekamp |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366926404 PECOS PAC ID: 4082959960 Enrollment ID: I20181220002674 |
| Provider Name | Amanda C Azevedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356805220 PECOS PAC ID: 6709127632 Enrollment ID: I20190403000227 |
| Provider Name | Melissa Celestino Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316592512 PECOS PAC ID: 5698109858 Enrollment ID: I20191220000612 |
| Provider Name | Ana Fuentevilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679554430 PECOS PAC ID: 8022439926 Enrollment ID: I20200601003172 |
| Provider Name | Jose Javier Guzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528452406 PECOS PAC ID: 4385986991 Enrollment ID: I20200624002753 |
| Provider Name | Mauricio Gonzalez-arias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154706042 PECOS PAC ID: 4082018585 Enrollment ID: I20221019003159 |
| Provider Name | John Wesley Mcwhorter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629790696 PECOS PAC ID: 6002280070 Enrollment ID: I20230315001579 |
| Provider Name | Joy Kanany Botros |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255807327 PECOS PAC ID: 2961868096 Enrollment ID: I20230516002180 |
| Provider Name | Javier Hernandez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700501152 PECOS PAC ID: 3779941950 Enrollment ID: I20230620003044 |
| Provider Name | Monica Sanchez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962182196 PECOS PAC ID: 5890149900 Enrollment ID: I20230922003013 |
| Provider Name | Pilar Rendon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336928514 PECOS PAC ID: 7113373564 Enrollment ID: I20231022000070 |
| Provider Name | Karla Andrea Allo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659070241 PECOS PAC ID: 0941644017 Enrollment ID: I20240216000470 |
| Provider Name | Zachary A Carithers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356078471 PECOS PAC ID: 7517302813 Enrollment ID: I20240227000292 |
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