ISIS SAMANTHA MACIAS MORENO (NPI# 1720604853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720604853 |
| Entity Type | Individual |
| Full Name | ISIS SAMANTHA MACIAS MORENO |
| Credential | M.D |
| Practice Address |
2810 W. Expressway 83 Mercedes TX 78570 |
| Mailing Address |
Knapp Medical Center 2810 W. Expressway 83 Mercedes TX 78570 |
| Practice Telephone | 9562961816 |
| Mailing Telephone | 9562961816 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2810 W. EXPRESSWAY 83 |
| City | MERCEDES |
| State | TX |
| Zip Code | 78570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649767377 | Miguel Augusto Alvarez Silva | Student in an Organized Health Care Education/Training Program | 2810 W. Expressway 83, Mercedes, TX 78570 | 2018-04-18 |
| 1124649033 | Shuruk Haib | Student in an Organized Health Care Education/Training Program | 2810 W. Expressway 83, Mercedes, TX 78570 | 2020-05-01 |
| 1750875936 | Daniela Garcia | Student in an Organized Health Care Education/Training Program | 2810 W. Expressway 83, Mercedes, TX 78570 | 2018-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184258576 | Santa Cruz Day Care for Adults, LLC | Clinic/Center | 157 N Texas Ave, Mercedes, TX 78570 | 2020-02-25 |
| 1649836073 | Jasmine Garcha | Student in an Organized Health Care Education/Training Program | Family Medicine - Knapp Medical Center, 2810 W. Expressway 83, Mercedes, TX 78570 | 2019-05-10 |
| 1134783780 | Yone Carolina Scaramelli | Student in an Organized Health Care Education/Training Program | 2810 W Expressway 83, Mercedes, Mercedes, TX 78570 | 2019-04-30 |
| 1659843027 | Wilgus Dialysis LLC | Clinic/Center | 1307 Cameron St., Mercedes, TX 78570 | 2018-12-26 |
| 1376036988 | Netter Jacobo Ortiz | Family Medicine | 2810 W Expy 83, Mercedes, Mercedes, TX 78570 | 2018-06-08 |
| 1073060570 | Touchstone Strategies - Mercedes LLC | Skilled Nursing Facility | 601 N Mile 2 West, Mercedes, TX 78570 | 2016-09-01 |
| 1457727992 | Jessica Dawn Hinojosa | Speech-Language Pathologist | 208 Starr St Suite 2, Mercedes, TX 78570 | 2015-08-19 |
| 1043628712 | Ricardo Lerma Jr. | Physician Assistant | 801 West 2nd Street, Mercedes, TX 78570 | 2014-07-25 |
| 1801138714 | The Home Care Team, Inc. | Home Health | 302 W 2nd St Ste 2, Mercedes, TX 78570 | 2013-03-19 |
| 1881935229 | Nereida Martinez | Occupational Therapist | 5006 E. Expressway 83, Suite B, Mercedes, TX 78570 | 2013-03-11 |
| Find all providers in zip 78570 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649836073 | Jasmine Garcha | Student in an Organized Health Care Education/Training Program | Family Medicine - Knapp Medical Center, 2810 W. Expressway 83, Mercedes, TX 78570 | 2019-05-10 |
| 1134783780 | Yone Carolina Scaramelli | Student in an Organized Health Care Education/Training Program | 2810 W Expressway 83, Mercedes, Mercedes, TX 78570 | 2019-04-30 |
| 1649767377 | Miguel Augusto Alvarez Silva | Student in an Organized Health Care Education/Training Program | 2810 W. Expressway 83, Mercedes, TX 78570 | 2018-04-18 |
| 1972120616 | Melissa Antonieta Salcedo Porras | Student in an Organized Health Care Education/Training Program | 2810 W Expressway 83, Mercedes, TX 78570-9704 | 2020-06-29 |
| 1770105819 | Amalia Isabel Mora Campuzano | Student in an Organized Health Care Education/Training Program | 2810 W Expressway 83, Mercedes, TX 78570-9704 | 2020-05-12 |
| 1124649033 | Shuruk Haib | Student in an Organized Health Care Education/Training Program | 2810 W. Expressway 83, Mercedes, TX 78570 | 2020-05-01 |
| 1124655378 | Noureddine El Moghrabi | Student in an Organized Health Care Education/Training Program | 2810 W Expressway 83, Mercedes, TX 78570-9704 | 2020-03-26 |
| 1437786043 | Omar Ahmed | Student in an Organized Health Care Education/Training Program | 2810 W Expressway 83, Mercedes, TX 78570-9704 | 2020-03-24 |
| 1245893916 | Ezinwanneamaka Morayo Igwe | Student in an Organized Health Care Education/Training Program | 2810 W Expressway 83, Mercedes, TX 78570-9704 | 2019-04-18 |
| 1780247460 | Carlos Alejandro Parisi De Gaetano | Student in an Organized Health Care Education/Training Program | 2810 W Expressway 83, Mercedes, TX 78570-9704 | 2019-04-17 |
| Find all providers in MERCEDES | ||||
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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.