Rosa Linda Ibarra, BS,RD,LD | |
131 Fm 3168, Raymondville, TX 78580-3605 | |
(956) 689-2196 | |
Not Available |
Full Name | Rosa Linda Ibarra |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 131 Fm 3168, Raymondville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073573762 | NPI | - | NPPES |
DT80097 | Other | TX | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DT80097 (Texas) | Primary |
Provider Name | Su Clinica Familiar |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285643304 PECOS PAC ID: 5496663429 Enrollment ID: O20040121001155 |
Mailing Address | Practice Location Address |
---|---|
Rosa Linda Ibarra, BS,RD,LD 805 N Cage Blvd Ste I-j, Pharr, TX 78577-3102 Ph: (956) 787-6600 | Rosa Linda Ibarra, BS,RD,LD 131 Fm 3168, Raymondville, TX 78580-3605 Ph: (956) 689-2196 |
Sandra Reyes Lopez, REGISTERED DIETICIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 131 Fm 3168, Raymondville, TX 78580 Phone: 956-689-2196 Fax: 956-689-5937 | |
Michelle Jermie Stephen Salazar, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 131 Fm 3168, Raymondville, TX 78580 Phone: 956-689-2196 | |
Stacey Amy Roberts, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 131 Fm 3168, Raymondville, TX 78580 Phone: 956-689-2196 |