MS. MARTINA TIJERINA PRADO (NPI# 1407974447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407974447 |
| Entity Type | Individual |
| Full Name | MS. MARTINA TIJERINA PRADO |
| Credential | LBSW, M.ED., LPC |
| Practice Address |
5510 Raphael Drive Edinburg TX 78539 |
| Practice Telephone | 9563622890 |
| Practice Fax Number | 9563622488 |
| Mailing Telephone | 9563622890 |
| Mailing Fax Number | 9563622488 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2014-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
61574 | TX | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 138708610 | 05 | |
| TX | 138708602 | 05 | |
| TX | 138708611 | 05 |
| Street Address |
5510 RAPHAEL DRIVE |
| City | EDINBURG |
| State | TX |
| Zip Code | 78539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721782 | Ghizlane Elanbari | Internal Medicine | 502 S. Closner Blvd, Edinburg, TX 78539 | 2020-08-22 |
| 1235751728 | Natalia Cristina Pinto | Student in an Organized Health Care Education/Training Program | 5423 S. Mc Coll Rd, University of Texas Rw Grande Valley - Doctor's Hospita, Edinburg, TX 78539 | 2020-05-07 |
| 1235750092 | Juan Pablo Trejo Pacheco Torres | Student in an Organized Health Care Education/Training Program | 5423 S. Mccoll Rd, Edinburg, TX 78539 | 2020-05-04 |
| 1336775527 | Lifeline Pharmacy 1 LLC | Pharmacy | 2500 W Trenton Road, Suite 12, Edinburg, TX 78539 | 2020-03-19 |
| 1881234045 | Tina Michelle Wisdom | Nurse Practitioner | 5501 Rafael Drive, Edinburg, TX 78539 | 2020-01-15 |
| 1649838178 | Charles Medical Management Services, LLC | Clinical Medical Laboratory | 723 E. University, Edinburg, TX 78539 | 2019-05-30 |
| 1437716289 | Sawyer Lambert | Optometrist | 3804 So. Jackson Road, Suite #4, Edinburg, TX 78539 | 2019-05-28 |
| 1114480837 | Doctors Dermatology and Associates | Dermatology | 2605 W Trenton Rd, Edinburg, TX 78539 | 2019-04-09 |
| 1053872200 | Leonel Vela | Preventive Medicine | Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 | 2019-03-29 |
| 1477025997 | Lee Family Dentistry P.a. | Dentist | 3802 South Business 281, Edinburg, TX 78539 | 2018-12-21 |
| Find all providers in zip 78539 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481856 | Angela Gonzalez | Counselor | 502 Dove Ave, Edinburg, TX 78542-5147 | 2020-03-05 |
| 1932741725 | Samiha Joanne Cruz-gomez | Counselor | 2821 Michaelangelo Dr Ste 204, Edinburg, TX 78539-1423 | 2019-10-13 |
| 1669034377 | Juan Moises Lopez | Counselor | 615 E Rogers Rd, Edinburg, TX 78541-8264 | 2019-07-02 |
| 1851889745 | Sands of Hope LLC | Counselor | 4715 S Jackson Rd Ste 4, Edinburg, TX 78539-8308 | 2018-04-25 |
| 1689100190 | Tommy Barbosa | Counselor | 509 Baltic Ave, Edinburg, TX 78539-7364 | 2017-05-03 |
| 1851747489 | Ana Cecilia Parra | Counselor | 404 Cavazos St, Edinburg, TX 78539-9616 | 2016-05-12 |
| 1285080234 | Julissa A Gonzalez | Counselor | 623 Sabal Ave, Edinburg, TX 78539-3487 | 2016-05-09 |
| 1346650736 | Orozco Counseling Center | Counselor | 4907 S Jackson Rd, Edinburg, TX 78539-7204 | 2014-05-06 |
| 1720403264 | Velma Veronica Mendoza | Counselor | 2022 Martin St, Edinburg, TX 78539-8419 | 2014-02-20 |
| 1508114083 | Angelica Yolanda Matamoros | Counselor | 500 W Canton Rd, Edinburg, TX 78539-6136 | 2012-08-15 |
| Find all providers in EDINBURG | ||||
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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.