MI VIDA PRIMARY CARE LLC (NPI# 1487035093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487035093 |
| Entity Type | Organization |
| Organization Name | MI VIDA PRIMARY CARE LLC |
| Practice Address |
3318 N 21st St Mcallen TX 78501-6062 |
| Practice Telephone | 9567895515 |
| Practice Fax Number | 3613961283 |
| Mailing Telephone | 9567895515 |
| Mailing Fax Number | 3613961283 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |
| Authorized Official Name | MR. JOHN L PENA (PARTNER) |
| Authorized Official Telephone | 9567895515 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP126924 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP126924 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
AP126924 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP126924 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518365741 | Mi Vida Primary Care LLC | Clinic/Center | 3318 N 21st St, Mcallen, TX 78501-6062 | 2014-12-22 |
| Street Address |
3318 N 21ST ST |
| City | MCALLEN |
| State | TX |
| Zip Code | 78501-6062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518365741 | Mi Vida Primary Care LLC | Clinic/Center | 3318 N 21st St, Mcallen, TX 78501-6062 | 2014-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605138 | Healthcare Monitoring & Management, Inc. | Home Health | 3000 N. Mccoll Rd Bldg B, Ste. 23, Mcallen, TX 78501 | 2020-10-01 |
| 1861004079 | American International Transport LLC | Ambulance | 721 Dallas Ave., Mcallen, TX 78501 | 2020-08-19 |
| 1275164469 | Victoria Jean Barron | Nurse Practitioner | 115 S. 15th Street, Mcallen, TX 78501 | 2020-01-28 |
| 1720618549 | Floresita Homecare, LLC | Technician | 929 E Esperanza Ave., Ste. 21, Mcallen, TX 78501 | 2020-01-21 |
| 1477023273 | Cielo Azul Provider Services, LLC. | Technician | 3241 N. 38th St., Mcallen, TX 78501 | 2018-12-05 |
| 1912487315 | Belinda Gonzalez Moralez | Physical Therapy Assistant | 2900 Upas Ave, Mcallen, TX 78501 | 2018-08-15 |
| 1457845901 | Top Dental | Clinic/Center | 228 North Ware Road, #10, Mcallen, TX 78501 | 2018-06-19 |
| 1114425998 | Gardenia Phc Services, LLC. | Technician | 704 S. 11th St. Ste. C, Mcallen, TX 78501 | 2018-01-26 |
| 1568972644 | Genesis Phc Services, LLC. | Technician | 3000 N Mccoll Rd Bld A, Ste 3b, Mcallen, TX 78501 | 2017-10-03 |
| 1154830487 | Vital Telemonitoring, LLC | Home Health | 929 E Esperanza Ave Unit 26, Mcallen, TX 78501 | 2017-09-29 |
| Find all providers in zip 78501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111555 | Sofia Berenice Barbosa | Nurse Practitioner | 3200 Northwestern Ave, Mcallen, TX 78504-5973 | 2020-10-15 |
| 1801414479 | Elealeh Mae Gonzaga | Nurse Practitioner | 600 Wichita Ave Apt 508, Mcallen, TX 78503-3042 | 2020-07-10 |
| 1790316149 | Ghary Esguerra | Nurse Practitioner | 2600 Thunderbird Ave, Mcallen, TX 78504-4265 | 2020-02-03 |
| 1497386668 | Denise Garcia | Nurse Practitioner | 4505 Ensenada Ave, Mcallen, TX 78504-9727 | 2020-01-28 |
| 1275164469 | Victoria Jean Barron | Nurse Practitioner | 115 S. 15th Street, Mcallen, TX 78501 | 2020-01-28 |
| 1497394118 | Marta Yesenia Garcia | Nurse Practitioner | 6701 N 7th Ct Apt C, Mcallen, TX 78504-1966 | 2019-12-27 |
| 1891331260 | Victtoria Turner | Nurse Practitioner | 1801 S 5th St Ste 101, Mcallen, TX 78503-2919 | 2019-11-20 |
| 1447896048 | Andres Ysaguirre | Nurse Practitioner | 2408 Ulex Ave, Mcallen, TX 78504-4584 | 2019-11-19 |
| 1194368480 | Wenceslao Sinosa Jr. | Nurse Practitioner | 3717 N 43rd St, Mcallen, TX 78501-3476 | 2019-10-20 |
| 1013563790 | Gabino Vicente Leal | Nurse Practitioner | 121 E Quamasia Ave Apt 127, Mcallen, TX 78504-2632 | 2019-08-17 |
| Find all providers in MCALLEN | ||||
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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.