MRS. MAYRA JUDITH CANTAZARO (NPI# 1619386190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619386190 |
Entity Type | Individual |
Full Name | MRS. MAYRA JUDITH CANTAZARO |
Credential | FNP |
Practice Address |
2609 Michaelangelo Dr Edinburg TX 78539 |
Mailing Address |
Po Box 2646 Mcallen TX 78502-2646 |
Practice Telephone | 9563625650 |
Practice Fax Number | 9563622574 |
Mailing Telephone | 9563622171 |
Mailing Fax Number | 9563622574 |
Enumeration Date | 2014-08-08 |
Last Update Date | 2019-01-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP126113 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 342495401 | 05 |
Street Address |
2609 MICHAELANGELO DR |
City | EDINBURG |
State | TX |
Zip Code | 78539 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386606606 | Samuel K. Snyder | Surgery | 2609 Michaelangelo Dr, Edinburg, TX 78539-1417 | 2006-04-03 |
1942837877 | Veronica Isabel Gonzalez | Dietitian, Registered | 2609 Michaelangelo Dr, Edinburg, TX 78539-1417 | 2020-03-23 |
1598235806 | Mindy Ann Garces | Nurse Practitioner | 2609 Michaelangelo Dr, Edinburg, TX 78539-1417 | 2018-11-29 |
1033644786 | Yadira Garcia | Dietitian, Registered | 2609 Michaelangelo Dr, Edinburg, TX 78539-1417 | 2017-05-01 |
1154860047 | University of Texas Rio Grande Valley | Internal Medicine | 2609 Michaelangelo Dr, Edinburg, TX 78539-1417 | 2017-02-13 |
1841734555 | Susana Andrea Arroyo | Dietitian, Registered | 2609 Michaelangelo Dr, Edinburg, TX 78539-1417 | 2016-12-14 |
1801268594 | Alexandra Garza-ibanez | Dietitian, Registered | 2609 Michaelangelo Dr, Edinburg, TX 78539-1417 | 2015-10-21 |
1548648488 | Lizlette Quintanilla | Dietitian, Registered | 2609 Michaelangelo Dr, Edinburg, TX 78539-1417 | 2015-05-12 |
1811284078 | Juan Diego Palacios Merchan | Internal Medicine | 2609 Michaelangelo Dr, Edinburg, TX 78539-1417 | 2011-07-07 |
1538487921 | Melany Castillo Suarez | Internal Medicine | 2609 Michaelangelo Dr, Edinburg, TX 78539-1417 | 2010-05-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033721782 | Ghizlane Elanbari | Internal Medicine | 502 S. Closner Blvd, Edinburg, TX 78539 | 2020-08-22 |
1235751728 | Natalia Cristina Pinto | Student in an Organized Health Care Education/Training Program | 5423 S. Mc Coll Rd, University of Texas Rw Grande Valley - Doctor's Hospita, Edinburg, TX 78539 | 2020-05-07 |
1235750092 | Juan Pablo Trejo Pacheco Torres | Student in an Organized Health Care Education/Training Program | 5423 S. Mccoll Rd, Edinburg, TX 78539 | 2020-05-04 |
1336775527 | Lifeline Pharmacy 1 LLC | Pharmacy | 2500 W Trenton Road, Suite 12, Edinburg, TX 78539 | 2020-03-19 |
1881234045 | Tina Michelle Wisdom | Nurse Practitioner | 5501 Rafael Drive, Edinburg, TX 78539 | 2020-01-15 |
1649838178 | Charles Medical Management Services, LLC | Clinical Medical Laboratory | 723 E. University, Edinburg, TX 78539 | 2019-05-30 |
1437716289 | Sawyer Lambert | Optometrist | 3804 So. Jackson Road, Suite #4, Edinburg, TX 78539 | 2019-05-28 |
1114480837 | Doctors Dermatology and Associates | Dermatology | 2605 W Trenton Rd, Edinburg, TX 78539 | 2019-04-09 |
1053872200 | Leonel Vela | Preventive Medicine | Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 | 2019-03-29 |
1477025997 | Lee Family Dentistry P.a. | Dentist | 3802 South Business 281, Edinburg, TX 78539 | 2018-12-21 |
Find all providers in zip 78539 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982219366 | Violeta Karina Velasco | Nurse Practitioner | 5716 Premiere Ln, Edinburg, TX 78542-1931 | 2020-09-11 |
1700421278 | Anabelle V Galindo | Nurse Practitioner | 1211 Habanero Ln, Edinburg, TX 78539-6086 | 2019-11-08 |
1265082440 | Dorothy Necole Maddox | Nurse Practitioner | 615 Steamboat Dr, Edinburg, TX 78541-1304 | 2019-09-19 |
1487210803 | Noemi Gabriela Sanchez | Nurse Practitioner | 5111 Virginia St, Edinburg, TX 78542-6299 | 2019-05-10 |
1104481456 | Rosa Lina Aguirre | Nurse Practitioner | 24210 Jackpot Blvd, Edinburg, TX 78542-4329 | 2019-05-02 |
1154888279 | Aaron Salinas | Nurse Practitioner | 613 N Sugar Road, Student Health, Edinburg, TX 78539-7853 | 2019-02-25 |
1275090698 | Georgina Gonzalez | Nurse Practitioner | 1301 Ricco St, Edinburg, TX 78539-2111 | 2019-02-21 |
1316410426 | Myra Leigh De La Garza | Nurse Practitioner | 3804 S Jackson Rd Ste 3, Edinburg, TX 78539-6683 | 2019-01-10 |
1770058711 | Arely Martinez | Nurse Practitioner | 3002 N Bus 281 Ste B, Edinburg, TX 78541-7162 | 2018-10-05 |
1366925174 | Nneka Lorretta Nweke | Nurse Practitioner | 525 Oregano St, Edinburg, TX 78541-7428 | 2018-09-08 |
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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.