Healthcare Provider Details

I. General information

NPI: 1962816629
Provider Name (Legal Business Name): FIORELLA LLANOS CHEA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2014
Last Update Date: 03/28/2023
Certification Date: 03/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E SAVANNAH AVE STE 21
MCALLEN TX
78503-1728
US

IV. Provider business mailing address

PO BOX 4449
MCALLEN TX
78502-4449
US

V. Phone/Fax

Practice location:
  • Phone: 956-362-8400
  • Fax: 956-362-3651
Mailing address:
  • Phone: 956-362-8400
  • Fax: 956-362-3651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberT1442
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: