Juan Anzaldua (NPI# 1124311394, PAC ID# 6406141357) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1124311394 |
| PAC ID by PECOS | 6406141357 |
| Professional Enrollment ID | I20160817001181 |
| Full Name | Juan Anzaldua |
| Organization Legal Name | RENAISSANCE SURGERY GROUP |
| Address |
2603 Michael Angelo Edinburg TX 78539-1417 |
| Phone Number | 9563628767 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9234384769 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450869 | DOCTORS HOSPITAL AT RENAISSANCE |
| Address | Phone | Organization |
|---|---|---|
| 2603 Michael Angelo, Edinburg, TX 78539-1417 | 9563628767 | RENAISSANCE SURGERY GROUP |
| 5501 S Mccoll Rd, Edinburg, TX 78539-9152 | 9563623300 | RENAISSANCE SURGERY GROUP |
| Organization Legal Name | RENAISSANCE SURGERY GROUP |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stylianos Sideris | Urology | Renaissance Surgery Group | 2603 Michael Angelo, Edinburg, TX 78539-1417 |
| Amanda Lynn Mure | Urology | Renaissance Surgery Group | 2603 Michael Angelo, Edinburg, TX 78539-1417 |
| Henry E Ruiz | Urology | Renaissance Surgery Group | 2603 Michael Angelo, Edinburg, TX 78539-1417 |
| Manuel G Espinoza | Urology | Renaissance Surgery Group | 2603 Michael Angelo, Edinburg, TX 78539-1417 |
| Alexander J Feigl | Urology | Renaissance Surgery Group | 2603 Michael Angelo, Edinburg, TX 78539-1417 |
| David Alonzo | Urology | Renaissance Surgery Group | 2603 Michael Angelo, Edinburg, TX 78539-1417 |
| Roger J Vitko | Urology | Renaissance Surgery Group | 2603 Michael Angelo, Edinburg, TX 78539-1417 |
| Gustavo V Villegas | Urology | Renaissance Surgery Group | 2603 Michael Angelo, Edinburg, TX 78539-1417 |
| Gaudencio Olgin | Urology | Renaissance Surgery Group | 2603 Michael Angelo, Edinburg, TX 78539-1417 |
| Street Address |
2603 MICHAEL ANGELO |
| City | EDINBURG |
| State | TX |
| Zip | 78539-1417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stylianos Sideris | Urology | Renaissance Surgery Group | 2603 Michael Angelo, Edinburg, TX 78539-1417 |
| Amanda Lynn Mure | Urology | Renaissance Surgery Group | 2603 Michael Angelo, Edinburg, TX 78539-1417 |
| Henry E Ruiz | Urology | Renaissance Surgery Group | 2603 Michael Angelo, Edinburg, TX 78539-1417 |
| Manuel G Espinoza | Urology | Renaissance Surgery Group | 2603 Michael Angelo, Edinburg, TX 78539-1417 |
| Alexander J Feigl | Urology | Renaissance Surgery Group | 2603 Michael Angelo, Edinburg, TX 78539-1417 |
| David Alonzo | Urology | Renaissance Surgery Group | 2603 Michael Angelo, Edinburg, TX 78539-1417 |
| Roger J Vitko | Urology | Renaissance Surgery Group | 2603 Michael Angelo, Edinburg, TX 78539-1417 |
| Gustavo V Villegas | Urology | Renaissance Surgery Group | 2603 Michael Angelo, Edinburg, TX 78539-1417 |
| Gaudencio Olgin | Urology | Renaissance Surgery Group | 2603 Michael Angelo, Edinburg, TX 78539-1417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison H Garza | Family Medicine | 2046 S Mccoll Rd, Edinburg, TX 78539-0228 | |
| Oscar J Garcia | Radiation Oncology | 2717 Michael Angelo, Edinburg, TX 78539-1403 | |
| Luis A Ramirez | Obstetrics/gynecology | Rodolfo M. Lozano Md Pa | 2821 Michael Angelo, Suite 100, Edinburg, TX 78539-1404 |
| Rodolfo M Lozano | Obstetrics/gynecology | Rodolfo M. Lozano Md Pa | 2821 Michael Angelo, Suite 100, Edinburg, TX 78539-1404 |
| Surya Narayan Mulukutla | Endocrinology | Renaissance Endocrinology | 2821 Michaelangelo Dr, Suite 102a, Edinburg, TX 78539-1404 |
| Cherie J Johnson | Obstetrics/gynecology | Renaissance Medical Foundation | 2821 Michaelangelo Dr, Suite 401, Edinburg, TX 78539-1405 |
| Ronald Yang | Physician Assistant | Ricardo Abreu, M.d., Pa | 2821 Michaelangelo Dr, Suite 303, Edinburg, TX 78539-1405 |
| Achal Parsotam Patel | Neurosurgery | Renaissance Medical Foundation | 2821 Michaelangelo Dr, Suite 304, Edinburg, TX 78539-1405 |
| Elissa Test Serapio | Obstetrics/gynecology | University of Texas Rio Grande Valley | 2821 Michaelangelo Dr, Suite 400, Edinburg, TX 78539-1405 |
| Stefan W Shuaib | Otolaryngology | Renaissance Medical Foundation | 2821 Michaelangelo Dr, Suite 303, Edinburg, TX 78539-1405 |
| Find all physicians in zip 78539 | |||
| City | EDINBURG |
| Zip Code | 78539 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | EDINBURG + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Juan Anzaldua.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.