PACIFICO MARAVILLAS (NPI# 1538562046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538562046 |
| Entity Type | Individual |
| Full Name | PACIFICO MARAVILLAS |
| Practice Address |
300 E Nolana Loop Ste. F Pharr TX 78577-9684 |
| Practice Telephone | 9567025199 |
| Practice Fax Number | 9567025207 |
| Mailing Telephone | 9567025199 |
| Mailing Fax Number | 9567025207 |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
300 E NOLANA LOOP STE. F |
| City | PHARR |
| State | TX |
| Zip Code | 78577-9684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043320591 | All Stars LLC | Durable Medical Equipment & Medical Supplies | 300 E Nolana Loop, Ste C, Pharr, TX 78577-9684 | 2006-08-30 |
| 1851959530 | Starry Knight Home Care LLC | Home Health | 300 E Nolana Loop, Pharr, TX 78577-9684 | 2019-05-29 |
| 1205378700 | Rgv Clinic for You, Pllc | Family Medicine | 300 E Nolana Loop, Pharr, TX 78577-9684 | 2016-11-15 |
| 1689126955 | Mary Mccoy | Nurse Practitioner | 300 E Nolana Loop, Pharr, TX 78577-9684 | 2016-11-02 |
| 1033462452 | My Morning Star Adult Day Care LLC | Clinic/Center | 300 E Nolana Loop, Suite E, Pharr, TX 78577-9684 | 2012-10-23 |
| 1659655611 | Jojemar Home Health, Inc | Home Health | 300 E Nolana Loop, Ste B, Pharr, TX 78577-9684 | 2011-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019875 | Faith Home Care, Inc | Home Health | 200 East Expressway 83 Ste. O, Pharr, TX 78577 | 2020-10-05 |
| 1720613276 | Dalin Sok I | Occupational Therapy Assistant | Aveanna Healthcare 508 W Interstate 2 Suite 3, Pharr, TX 78577 | 2020-03-05 |
| 1205303799 | Cristina Marie Bocanegra | Physical Therapist | 508 Expressway 83 Suite 3, Pharr, TX 78577 | 2018-11-01 |
| 1578030508 | Dulce Amor Y Paz Primary Home Care, LLC | In Home Supportive Care | 607 W Interstate Ste B, Pharr, TX 78577 | 2018-10-29 |
| 1851866412 | Dinma Care Pharmacy Durable Medical Equipment (dme) Services LLC | Durable Medical Equipment & Medical Supplies | 832 Del Oro Lane, Suite # 1, Pharr, TX 78577 | 2018-10-10 |
| 1144705393 | Hiram Duran | Occupational Therapy Assistant | 902 E. Nolana Suite H&i, Pharr, TX 78577 | 2018-10-03 |
| 1093293144 | Claudia Garcia | Occupational Therapy Assistant | 912 E Nolana Loop Ste G, Pharr, TX 78577 | 2018-08-01 |
| 1013493592 | Roxanna Garza Gonzalez | Specialist/Technologist | 216 E Interstate 2 Suite K, Pharr, TX 78577 | 2018-07-17 |
| 1376037754 | Roxana Saenz | Speech-Language Pathologist | 508 W Expy 83, Suite 3, Pharr, TX 78577 | 2018-06-19 |
| 1912414160 | Michael Jeremy Hoskins | Physical Therapist | 508 West Expressway 83 Suite 3, Pharr, TX 78577 | 2018-01-09 |
| Find all providers in zip 78577 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719059 | Kenesha Barnes | Pathology | 9120 Monica St, Beaumont, TX 77707-4634 | 2020-10-28 |
| 1417574922 | Thomas King Huard | Pathology | 112 Bellagio Dr, Austin, TX 78734-5081 | 2020-06-30 |
| 1932740313 | Stephanie Halliday | Pathology | 2023 Gentryside Dr Unit 102, Houston, TX 77077-3657 | 2019-10-07 |
| 1699232504 | Xia Wang | Pathology | 1920 Country Place Pkwy # 100, Pearland, TX 77584-2282 | 2019-02-27 |
| 1982178000 | Quantacia Miner | Pathology | 613 Bridgewood Cir Apt 524, Fort Worth, TX 76112-1729 | 2019-01-11 |
| 1710479530 | Herbert A Fritsche Jr. | Pathology | 12117 Bee Caves Road, Building 3 Suite 100, Austin, TX 78738 | 2018-06-06 |
| 1336694496 | Pheleicia Biggins | Pathology | 4116 Summitt Ridge Dr, Dallas, TX 75216-6016 | 2016-08-18 |
| 1447671292 | Alvin Spiekerman | Pathology | 16300 Addison Rd, Addison, TX 75001-5346 | 2013-12-20 |
| 1659704724 | Christopher Byers | Pathology | 6682 Escondido St, Irving, TX 75039-4208 | 2013-08-13 |
| 1740567841 | Stephen Ray Harlow | Pathology | 201 Laurence, #108, Heath, TX 75032 | 2011-11-03 |
| Find all providers with the same taxonomy | ||||
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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.