MR. JUAN JOSE CARRALES (NPI# 1023564531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023564531 |
| Entity Type | Individual |
| Full Name | MR. JUAN JOSE CARRALES |
| Credential | PA |
| Practice Address |
1175 Eidson Rd Eagle Pass TX 78852 |
| Mailing Address |
Po Box 1470 Eagle Pass TX 78853-1470 |
| Practice Telephone | 8307576946 |
| Practice Fax Number | 8307575850 |
| Mailing Telephone | 8307738917 |
| Mailing Fax Number | 8307731892 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2018-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10556 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCCPA CERTIFICATION | 1132749 | 01 | |
| TX | TX MEDICAL BOARD - LICENSE | PA10556 | 01 |
| Street Address |
1175 EIDSON RD |
| City | EAGLE PASS |
| State | TX |
| Zip Code | 78852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306945043 | James H Fowler | Otolaryngology | 1175 Eidson Rd, Eagle Pass, TX 78852-5403 | 2006-09-21 |
| 1275962508 | Maria Iren Creticio-garza | Nurse Practitioner | 1175 Eidson Rd, Eagle Pass, TX 78852-5403 | 2013-11-07 |
| 1396097176 | Carolina Juarez | Physician Assistant | 1175 Eidson Rd, Eagle Pass, TX 78852-5403 | 2012-10-04 |
| 1245581156 | United Medical Centers | Family Medicine | 1175 Eidson Rd, Eagle Pass, TX 78852-5403 | 2012-10-02 |
| 1982979845 | Gabriela Salazar | Physician Assistant | 1175 Eidson Rd, Eagle Pass, TX 78852-5403 | 2012-03-12 |
| 1912205832 | Elizabeth Marie Martinez-alamillo | Physician Assistant | 1175 Eidson Rd, Eagle Pass, TX 78852-5403 | 2011-03-01 |
| 1427233790 | Angela Lynn Schladoer | Podiatrist | 1175 Eidson Rd, Eagle Pass, TX 78852-5403 | 2008-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782976 | Yariann Esther Rodriguez | Counselor | 2267 North Veteran Boulevard, Apt. 23, Eagle Pass, TX 78852 | 2020-02-12 |
| 1225688583 | Access Podiatry Center, LLC | Podiatrist | 2703 Stone Hedge, Eagle Pass, TX 78852 | 2019-09-18 |
| 1750944013 | Maria Liza Blessett | Physical Therapist | 1615 S Veterans Blvd, Eagle Pass, TX 78852 | 2019-04-22 |
| 1861055725 | Superior Plus Ambulance LLC | Ambulance | 2296 N Veterans Blvd, Eagle Pass, TX 78852 | 2019-04-17 |
| 1134685480 | Connoisseur Health Pros, LLC | Physical Therapy Assistant | 1615 S. Veterans Blvd., Eagle Pass, TX 78852 | 2019-02-12 |
| 1932601812 | Laura Rene Valdes | Speech-Language Pathologist | 300 Adams, Suite 7, Eagle Pass, TX 78852 | 2018-03-06 |
| 1861941494 | Eagle Pass Er LLC | Clinic/Center | 2114 N Veterans Blvd, Eagle Pass, TX 78852 | 2016-09-23 |
| 1285182600 | Eagle Pass II Enterprises, LLC | Skilled Nursing Facility | 3333 Bob Rogers Dr, Eagle Pass, TX 78852 | 2016-09-14 |
| 1063898278 | Lilia Irene Esquivel | Pharmacist | 2341 East Main St., Eagle Pass, TX 78852 | 2015-08-11 |
| 1700260494 | Cynthia Barrera | Pharmacist | 2341 East Main, Eagle Pass, TX 78852 | 2015-07-13 |
| Find all providers in zip 78852 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912489303 | Yolanda Elena Gonzalez | Physician Assistant | 3459 Siesta Dr, Eagle Pass, TX 78852-3749 | 2018-08-31 |
| 1598133282 | Denise Vera Nemeth | Physician Assistant | 2557 N Veterans Blvd, Suite D, Eagle Pass, TX 78852-3356 | 2015-09-11 |
| 1134347289 | Romulo Alfonso Berrezueta | Physician Assistant | 2176 E Garrison St Ste C, Eagle Pass, TX 78852-5072 | 2007-04-23 |
| 1972729507 | Lucio I Mares | Physician Assistant | 144 Falcon Blvd Apt 2, Eagle Pass, TX 78852-5861 | 2007-04-18 |
| 1063805935 | Manuel Hernandez | Physician Assistant | 290 Jefferson St, Eagle Pass, TX 78852-4820 | 2015-03-16 |
| 1811318371 | Maverick Physician Services Pa | Physician Assistant | 3333 N Foster Maldonado Blvd, Eagle Pass, TX 78852-5893 | 2013-12-30 |
| 1396097176 | Carolina Juarez | Physician Assistant | 1175 Eidson Rd, Eagle Pass, TX 78852-5403 | 2012-10-04 |
| 1982979845 | Gabriela Salazar | Physician Assistant | 1175 Eidson Rd, Eagle Pass, TX 78852-5403 | 2012-03-12 |
| 1114291374 | Landy Gurwell | Physician Assistant | 1975 N Veterans Blvd, Suite 5, Eagle Pass, TX 78852-4456 | 2012-03-05 |
| 1114227006 | Ana Rosa Chong | Physician Assistant | 2525 N Veterans Blvd, Eagle Pass, TX 78852-3302 | 2010-10-26 |
| Find all providers in EAGLE PASS | ||||
| City | EAGLE PASS |
| Zip Code | 78852 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.