Luis Jaime Marichalar, CRNA | |
5501 S Mccoll Rd, Edinburg, TX 78539-9152 | |
(956) 661-0529 | |
(956) 618-4639 |
Full Name | Luis Jaime Marichalar |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 5501 S Mccoll Rd, Edinburg, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1316375231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | AP124489 (Texas) | Primary |
Entity Name | Sportsortho Anesthesia |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639813447 PECOS PAC ID: 0840675690 Enrollment ID: O20220915001470 |
Mailing Address | Practice Location Address |
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Luis Jaime Marichalar, CRNA 7432 N 5th St, Mcallen, TX 78504-1845 Ph: (602) 330-1653 | Luis Jaime Marichalar, CRNA 5501 S Mccoll Rd, Edinburg, TX 78539-9152 Ph: (956) 661-0529 |
Zeus Gonzales Deleon, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5513 Doctors Dr, Edinburg, TX 78539 Phone: 832-367-8454 | |
Dr. Matthew Bradley Watson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 S Mccoll Rd, Edinburg, TX 78539 Phone: 867-795-6362 | |
Georgette Nicole Flores, CRNA, APRN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 S Mccoll Rd, Edinburg, TX 78539 Phone: 956-362-8677 | |
Mohammed Fouad Abu-deiab, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 S Mccoll Rd, Edinburg, TX 78539 Phone: 787-366-6160 | |
Angel Arjona, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5501 S Mccoll Rd, Edinburg, TX 78539 Phone: 956-362-8677 | |
Clara Esmeralda Moreno, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 S Mccoll Rd, Edinburg, TX 78539 Phone: 956-661-0529 | |
Alvaro Mayorga, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5415 S Mccoll Rd, Edinburg, TX 78539 Phone: 956-661-0529 |