DAVID ROBERTO MEDINA (NPI# 1790273712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790273712 |
| Entity Type | Individual |
| Full Name | DAVID ROBERTO MEDINA |
| Credential | PA |
| Practice Address |
3302 Boca Chica Blvd Brownsville TX 78521-5193 |
| Mailing Address |
5460 Paredes Line Rd Ste 200 Brownsville TX 78526-9741 |
| Practice Telephone | 9569821001 |
| Practice Fax Number | 9565509393 |
| Mailing Telephone | 9565540010 |
| Mailing Fax Number | 9565543288 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2019-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA11987 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144521303 | David Antonio Medina | Chiropractor | 69 Hustonville St., Liberty, KY 42539 | 2010-11-04 |
| 1558517342 | David O Medina | Dentist | 10925 Magnolia Ave, Riverside, CA 92505-3044 | 2008-08-12 |
| 1568973824 | David Jose Medina | Specialist/Technologist | 33 N Krome Ave, Homestead, FL 33030-6014 | 2017-10-13 |
| 1598103962 | David Medina | Counselor | 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 | 2013-06-07 |
| 1518252568 | David J Medina | Psychologist | 11 Calle San Antonio, Rio Grande, PR 00745-3065 | 2011-06-17 |
| 1427371780 | David Medina | Pharmacist | 75 Nassau Terminal Rd, New Hyde Park, NY 11040-4927 | 2010-03-01 |
| 1588805824 | David Antonio Medina | Psychiatry & Neurology | 1836 Woodward St, Orlando, FL 32803-4256 | 2009-03-17 |
| 1457511016 | David Medina | Anesthesiology | 1850 N Central Ave, Suite 1600, Phoenix, AZ 85004-4527 | 2008-06-16 |
| 1346424983 | David Medina | Registered Nurse | 7200 Bancroft Ave Ste 202, Oakland, CA 94605-2471 | 2007-12-18 |
| 1346436870 | David Alejandro Medina | Dentist | 8915 14th Ave S, Seattle, WA 98108-4813 | 2007-09-18 |
| Street Address |
3302 BOCA CHICA BLVD |
| City | BROWNSVILLE |
| State | TX |
| Zip Code | 78521-5193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710920624 | Joseph John Martinez-o'hara | Internal Medicine | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2006-06-14 |
| 1033769765 | Larry Wright | Nurse Practitioner | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2019-09-15 |
| 1992293906 | Edna Daniela Michi | Physician Assistant | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2018-04-25 |
| 1699207951 | Nathaniel Garcia | Physician Assistant | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2017-03-28 |
| 1669855870 | Isaac Ornelas | Physical Therapist | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2015-07-07 |
| 1891137576 | Raymundo Castillo Jr. | Physician Assistant | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2013-07-23 |
| 1801148267 | Daniel Martinez Jr. | Physical Therapist | 3302 Boca Chica Blvd, Brownsville, TX 78521-4202 | 2012-10-10 |
| 1942572771 | Elizabeth Ann Betz | Nurse Practitioner | 3302 Boca Chica Blvd, Brownsville, TX 78521-4202 | 2012-02-09 |
| 1174891832 | Medicus Domus, LLC | Clinical Nurse Specialist | 3302 Boca Chica Blvd, Brownsville, TX 78521-4202 | 2011-12-09 |
| 1508164062 | Clark W Pedigo | Physical Therapy Assistant | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2011-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811401 | D&r Medical Supplies | Durable Medical Equipment & Medical Supplies | 1805 Ruben M. Torrez Ste. C1, Brownsville, TX 78521 | 2020-08-10 |
| 1467085829 | Ariel Ann Cruz | Pharmacist | 2950 Souhmost Rd, Brownsville, TX 78521 | 2020-02-13 |
| 1659901908 | Luis Villarreal | Music Therapist | 1786 Coffee Rd, Brownsville, TX 78521 | 2020-01-24 |
| 1356999361 | Ambrose Eternity Home Services, LLC. | Technician | 3505 Boca Chica Blvd., Ste. 205, Brownsville, TX 78521 | 2019-09-03 |
| 1578128641 | South Texas Lymphedema Care LLC | Occupational Therapist | 35 Casa De Palmas, Brownsville, TX 78521 | 2019-05-04 |
| 1649752262 | Cristina Morales | Specialist/Technologist | 4430 E. 14th St. Unit E, Brownsville, TX 78521 | 2018-08-30 |
| 1831679182 | Josue Peralez | Occupational Therapy Assistant | 4430 E 14th St Unit E Brownsville, Tx 78521, Brownsville, TX 78521 | 2018-08-16 |
| 1386138170 | Chang Joo Lee | Dentist | 2950 Southmost Blvd, Suite 103, Brownsville, TX 78521 | 2018-06-15 |
| 1053822676 | Brownsville Adult and Pediatric Clinic | Nurse Practitioner | 3510 Southmost Road, Suite C, Brownsville, TX 78521 | 2017-10-23 |
| 1174041032 | Stephanie Hernandez | Specialist/Technologist | 532 Fresa, Brownsville, TX 78521 | 2017-08-31 |
| Find all providers in zip 78521 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124282553 | Cynthia Rodriguez | Physician Assistant | 2534 Boca Chica Blvd, Brownsville, TX 78521-3496 | 2008-07-15 |
| 1043217631 | Nancy Csabi | Physician Assistant | 800 W Jefferson St, Ste 200, Brownsville, TX 78520-6329 | 2005-06-28 |
| 1033775895 | Gustavo Garza | Physician Assistant | 191 E Price Rd, Brownsville, TX 78521-3527 | 2019-05-16 |
| 1992293906 | Edna Daniela Michi | Physician Assistant | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2018-04-25 |
| 1629571583 | Eldibrando Ramos II | Physician Assistant | 213 Heart Dr, Brownsville, TX 78520-3602 | 2018-03-16 |
| 1245789502 | Arturo A Lira | Physician Assistant | 3475 W Alton Gloor Blvd, Brownsville, TX 78520-4474 | 2016-09-28 |
| 1891137576 | Raymundo Castillo Jr. | Physician Assistant | 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 | 2013-07-23 |
| 1568808228 | Vicente Esparza Jr. | Physician Assistant | 864 Central Blvd, Suite 2500, Brownsville, TX 78520-7551 | 2013-05-21 |
| 1629318217 | Alicia Lizette Flores | Physician Assistant | 100 E Alton Gloor Blvd, Brownsville, TX 78526-3328 | 2013-02-19 |
| 1568748721 | Phillip David Taylor Sr. | Physician Assistant | 315 Jose Marti Blvd, Brownsville, TX 78526-2868 | 2011-11-01 |
| Find all providers in BROWNSVILLE | ||||
| City | BROWNSVILLE |
| Zip Code | 78521 |
Please comment or provide details below to improve the information on DAVID ROBERTO MEDINA.
| 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.