Healthcare Provider Details

I. General information

NPI: 1043343437
Provider Name (Legal Business Name): RGV PREVENTATIVE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 02/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S BICENTENNIAL BLVD
MCALLEN TX
78501-5275
US

IV. Provider business mailing address

PO BOX 278
MCALLEN TX
78505-0278
US

V. Phone/Fax

Practice location:
  • Phone: 956-971-0077
  • Fax: 956-971-0076
Mailing address:
  • Phone: 956-971-0077
  • Fax: 956-971-0076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. VICENTE ARAMBULA
Title or Position: COO
Credential:
Phone: 956-971-0077