Healthcare Provider Details

I. General information

NPI: 1093619892
Provider Name (Legal Business Name): ERIKA PELAYO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. ARIANA BARRERA

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 MARGARITA ST
ROMA TX
78584-8976
US

IV. Provider business mailing address

2701 MARGARITA ST
ROMA TX
78584-8976
US

V. Phone/Fax

Practice location:
  • Phone: 956-263-7984
  • Fax:
Mailing address:
  • Phone: 956-263-7984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License NumberVYP4202
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: