ULISES BONILLA BURGOS (NPI# 1750715868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750715868 |
| Entity Type | Individual |
| Full Name | ULISES BONILLA BURGOS |
| Credential | MD |
| Practice Address |
208 Starr St Suite 3 Mercedes TX 78570-2734 |
| Practice Telephone | 9569034218 |
| Practice Fax Number | 9569034149 |
| Mailing Telephone | 9569034218 |
| Mailing Fax Number | 9569034149 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2017-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 193200000X | Multi-Specialty | Q9961 | TX | Group |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAL LICENSE TEXAS | Q9961 | 01 |
| Street Address |
208 STARR ST SUITE 3 |
| City | MERCEDES |
| State | TX |
| Zip Code | 78570-2734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174627772 | Qtp II Inc | Occupational Therapist | 208 Starr St, Suite 2, Mercedes, TX 78570-2711 | 2006-09-12 |
| 1275090540 | Karla Cardenas | Occupational Therapist | 208 Starr St, Mercedes, TX 78570-2734 | 2019-02-22 |
| 1568998995 | Leah Briody | Occupational Therapist | 208 Starr St, Mercedes, TX 78570-2734 | 2017-05-04 |
| 1528599321 | Michael Daniel Hernandez | Occupational Therapist | 208 Starr St, Mercedes, TX 78570-2734 | 2017-03-23 |
| 1275926594 | Sarah Abdulrahman Colorado Pascua | Physical Therapist | 208 Starr St, Mercedes, TX 78570-2711 | 2015-03-11 |
| 1164827846 | Leticia Medrano Serna | Physician Assistant | 208 Starr St, Mercedes, TX 78570-2711 | 2014-10-24 |
| 1598167231 | Sandra Rodriguez | Physician Assistant | 208 Starr St, Mercedes, TX 78570-2711 | 2014-09-25 |
| 1477859627 | Segundo Lizardo M.d.p.a. | Pediatrics | 208 Starr St, Mercedes, TX 78570-2711 | 2011-02-07 |
| 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 |
| 1649767377 | Miguel Augusto Alvarez Silva | Student in an Organized Health Care Education/Training Program | 2810 W. Expressway 83, Mercedes, TX 78570 | 2018-04-18 |
| 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 |
| Find all providers in zip 78570 | ||||
| Taxonomy Code | 193200000X |
| Grouping | Group |
| Classification | Multi-Specialty |
| A business group of one or more individual practitioners, who practice with different areas of specialization. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891785887 | Guy Alan Wells | Multi-Specialty | 3819 24th St, Lubbock, TX 79410-1829 | 2005-10-21 |
| 1053632984 | Inhye Ahn | Multi-Specialty | 6550 Fannin St, Smith Tower 1101, Houston, TX 77030-2717 | 2010-06-15 |
| 1174752372 | Srinivas Yallapragada | Multi-Specialty | 8440 Walnut Hill Ln Ste 700, Dallas, TX 75231 | 2009-07-08 |
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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.