DR. MA REYNA DOMINIQUE CRISTOBAL JIAO (NPI# 1952670812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952670812 |
| Entity Type | Individual |
| Full Name | DR. MA REYNA DOMINIQUE CRISTOBAL JIAO |
| Credential | M.D. |
| Practice Address |
102 N Nueces Park Ln Harlingen TX 78552-6235 |
| Mailing Address |
5320 Shalom Dr Edinburg TX 78539-4341 |
| Practice Telephone | 0000000000 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Q6210 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4801 Alberta Ave, El Paso, TX 799052707 | 9152155700 | 9152158697 |
| Street Address |
102 N NUECES PARK LN |
| City | HARLINGEN |
| State | TX |
| Zip Code | 78552-6235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295716025 | Maria T Camacho | Pediatrics | 102 N Nueces Park Ln, Harlingen, TX 78552-6235 | 2005-11-09 |
| 1386871341 | Luis E Eguia Md Pa | Internal Medicine | 102 N Nueces Park Ln, Harlingen, TX 78552-6235 | 2009-06-17 |
| 1215112131 | Rgv Pediatric Critical Care Pa | Pediatrics | 102 N Nueces Park Ln, Harlingen, TX 78552-6235 | 2008-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770030207 | Zifa Guerrero | Counselor | 5404 Guava Dr., Harlingen, TX 78552 | 2016-09-01 |
| 1801294483 | Metx, LLC | Audiologist-Hearing Aid Fitter | 2709 W Expy 83, Ste 140, Harlingen, TX 78552 | 2014-12-12 |
| 1093060980 | Lanning Blish | Technician/Technologist | 2000 S. Expressway Suite F03, Harlingen, TX 78552 | 2012-07-17 |
| 1457658114 | Leslie Castillo | Occupational Therapist | 24139 Brownstone Cr East, Harlingen, TX 78552 | 2011-02-16 |
| 1477785962 | Cima Hospice of The Valley East Lp | Hospice Care, Community Based | 2404 S Expressway 83, Suite A, Harlingen, TX 78552 | 2009-08-17 |
| 1215194857 | Best Home Health Care, Incorporated | Home Health | 8002 W. Expway 83, Suite B, Harlingen, TX 78552 | 2008-05-21 |
| 1841357290 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2002 S Expy 83, Valley Vista Mall, Harlingen, TX 78552 | 2007-01-03 |
| 1487745618 | Eyemasters of Texas Ltd | Eyewear Supplier (Equipment, not the service) | 2020 South Expressway, Suite 83, Harlingen, TX 78552 | 2006-09-26 |
| 1013017847 | Marianne Sparrow | Counselor | 5302 Guava Dr, Harlingen, TX 78552 | 2006-09-22 |
| 1427062215 | Ralph Nieto | Physiological Laboratory | 17745 Us Expressway 83, Harlingen, TX 78552 | 2006-07-28 |
| Find all providers in zip 78552 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295716025 | Maria T Camacho | Pediatrics | 102 N Nueces Park Ln, Harlingen, TX 78552-6235 | 2005-11-09 |
| 1215112131 | Rgv Pediatric Critical Care Pa | Pediatrics | 102 N Nueces Park Ln, Harlingen, TX 78552-6235 | 2008-01-09 |
| 1558570333 | Rangasamy Krishnan Anand | Pediatrics | 2101 Pease St, Harlingen, TX 78550-8307 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093294654 | Elva Linda Pereida | Pediatrics | 107 Palisades, Portland, TX 78374-4144 | 2018-08-14 |
| 1083156905 | Pediatric Immediate Care of Texas, Pllc | Pediatrics | 3831 E League City Pkwy, Suite A, League City, TX 77573-7155 | 2016-11-09 |
| 1053730226 | Jaime Conrado Silva | Pediatrics | 1911 Holcombe Blvd Apt 1326, Houston, TX 77030-4189 | 2014-04-15 |
| 1144574591 | Amy Sharon Arrington | Pediatrics | 6621 Fannin, W6006, Houston, TX 77030 | 2012-11-07 |
| 1306118013 | Corey Chartan | Pediatrics | One Baylor Plaza, Mail Stop W6-006, Pediatric Critical Care, Houston, TX 77070 | 2012-01-27 |
| 1306172945 | Omar S Arrieta | Pediatrics | Scott & White 4 South Pedi Administration Rm 431, 2401 South 31st Street, Temple, TX 76508-0001 | 2009-11-01 |
| 1396971206 | Kevin Matthew Roy | Pediatrics | 6621 Fannin Street, Wt6-006, Texas Children's Hospital, Pediatrics Intensive Care, Houston, TX 77030 | 2009-06-05 |
| 1609036342 | Loay Y Abdulsamad | Pediatrics | 11322 Bucks Bridge Ln, Sugar Land, TX 77478-0915 | 2008-06-16 |
| 1396911715 | Aarti C Bavare | Pediatrics | 6621 Fannin, Wt6-006, Houston, TX 77030 | 2008-05-06 |
| 1982726741 | Terry Lee Furgiuele | Pediatrics | 4600 Ashville Pl, Amarillo, TX 79119-6452 | 2007-04-04 |
| Find all providers with the same taxonomy | ||||
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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.