Renaissance Bmi | |
5501 S Mccoll Rd Edinburg TX 78539-9152 | |
(956) 362-2171 | |
(956) 362-2132 |
Full Name | Renaissance Bmi |
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Speciality | Clinic/Center |
Location | 5501 S Mccoll Rd, Edinburg, Texas |
Authorized Official Name and Position | Ada X Gonzalez (ADMINISTRATOR) |
Authorized Official Contact | 9563622171 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Renaissance Bmi Po Box 5358 Mcallen TX 78502-5358 Ph: (956) 362-2171 | Renaissance Bmi 5501 S Mccoll Rd Edinburg TX 78539-9152 Ph: (956) 362-2171 |
NPI Number | 1295163327 |
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Provider Enumeration Date | 10/29/2013 |
Last Update Date | 08/29/2022 |
Medicare PECOS PAC ID | 0446483077 |
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Medicare Enrollment ID | O20140505001989 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295163327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Guadalupe Aranguena Sharpe |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1396888988 PECOS PAC ID: 9133202286 Enrollment ID: I20080212000557 |
Provider Name | Robert Alleyn |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1346202033 PECOS PAC ID: 9537135660 Enrollment ID: I20090605000216 |
Provider Name | Manish Singh |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1447463690 PECOS PAC ID: 6800928672 Enrollment ID: I20111102000793 |
Provider Name | Michelle L Cordoba Kissee |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1831381458 PECOS PAC ID: 6204975444 Enrollment ID: I20130926000408 |
Provider Name | Aida Coronado Garcia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992131486 PECOS PAC ID: 4688897648 Enrollment ID: I20140520000109 |
Provider Name | Robert Armour Forse |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1508974312 PECOS PAC ID: 4688600885 Enrollment ID: I20151104000180 |
Provider Name | Brandy Nicole Salinas |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1972040160 PECOS PAC ID: 2769766831 Enrollment ID: I20170309001098 |
Provider Name | Sylvia Chastity Ingram |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871076521 PECOS PAC ID: 9739412271 Enrollment ID: I20190614001331 |
Provider Name | Felix Saavedra |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1073737169 PECOS PAC ID: 8628400462 Enrollment ID: I20191115000551 |
Provider Name | Tomasz Rogula |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1265407696 PECOS PAC ID: 9436120581 Enrollment ID: I20221020000131 |
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