MEDICARE: JULIO C DE LA FUENTE DDS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	19788	TX

General Provider Information

NPI Number	:	1598846347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JULIO C DE LA FUENTE DDS PA

Provider Business Mailing Address
First Line	:	5405 S MCCOLL RD
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-9183
Country	:	US
Telephone Number	:	956-668-1780
Fax Number	:	956-668-1781

Provider Business Practice Location Address
First Line	:	5405 S MCCOLL RD
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-9183
Country	:	US
Telephone Number	:	956-668-1780
Fax Number	:	956-668-1781

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. JULIO CESAR DE LA FUENTE JR.
Credential	:	DDS
Telephone Number	:	956-668-1780

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	10/13/2010

Similar Medicare Providers

1295739126 — ANDREW N DENTINO MD
Practice Location Address:

5423 S MCCOLL RD
EDINBURG, TX
78539-9183

Practice Phone: 956-362-3575
Practice Fax: 956-362-3584

1861456345 — DR. HERIBERTO RODRIGUEZ AYALA MD
Practice Location Address:

5419 S MCCOLL RD
EDINBURG, TX
78539-9183

Practice Phone: 956-928-0600
Practice Fax: 877-582-6921

1063595957 — RAYMUNDO G MATAR MD
Practice Location Address:

5415 S MCCOLL RD
EDINBURG, TX
78539-9183

Practice Phone: 956-661-0529
Practice Fax: 956-618-4639

1528137692 — DR. JUAN CARLOS CARLOS RIVERA M.D.
Practice Location Address:

5419 SOUTH MCCOLL ROAD
EDINBURG, TX
78539-9183

Practice Phone: 956-630-0090
Practice Fax: 956-630-0099

1295910156 — JOSE NOE HERRERA CRNA
Practice Location Address:

5415 S MCCOLL RD
EDINBURG, TX
78539-9183

Practice Phone: 956-661-0529
Practice Fax: 956-618-4639

1538346085 — SOUTH TEXAS WOMEN'S HEALTH CENTER, P.A.
Practice Location Address:

5419 SOUTH MCCOLL ROAD
EDINBURG, TX
78539-9183

Practice Phone: 956-630-0090
Practice Fax: 956-630-0099

Directions to “JULIO C DE LA FUENTE DDS PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.