Healthcare Provider Details

I. General information

NPI: 1255379707
Provider Name (Legal Business Name): RGV ANESTHESIA ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 06/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3513 W ALBERTA RD
EDINBURG TX
78539-8466
US

IV. Provider business mailing address

PO BOX 720188
MCALLEN TX
78504-0188
US

V. Phone/Fax

Practice location:
  • Phone: 956-664-9771
  • Fax: 956-664-9773
Mailing address:
  • Phone: 956-664-9771
  • Fax: 956-664-9773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DIEGO F JARAMILLO
Title or Position: PRESIDENT
Credential: MD
Phone: 956-664-9771