Healthcare Provider Details

I. General information

NPI: 1720542053
Provider Name (Legal Business Name): RGV KIDNEY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2019
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E RIDGE RD STE 7
MCALLEN TX
78503-1528
US

IV. Provider business mailing address

1200 E RIDGE RD STE 7
MCALLEN TX
78503-1528
US

V. Phone/Fax

Practice location:
  • Phone: 956-630-7273
  • Fax: 956-630-7274
Mailing address:
  • Phone: 956-630-7273
  • Fax: 956-630-7274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: YANILDA MARIA NUNEZ GERMOSEN
Title or Position: PROVIDER
Credential: MD
Phone: 956-630-7273