MEDICARE: CLINICA SAN MARTIN DE PORRES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center	N1626	TX

General Provider Information

NPI Number	:	1114166014
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLINICA SAN MARTIN DE PORRES

Provider Business Mailing Address
First Line	:	6101 N 23RD ST
Second Line	:	SUITE F
City	:	MCALLEN
State	:	TX
Zip	:	78504-3929
Country	:	US
Telephone Number	:	956-627-2752
Fax Number	:	956-627-2754

Provider Business Practice Location Address
First Line	:	6101 N 23RD ST
Second Line	:	SUITE F
City	:	MCALLEN
State	:	TX
Zip	:	78504-3929
Country	:	US
Telephone Number	:	956-627-2752
Fax Number	:	956-627-2754

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ABDIAS D ETIENNE
Credential	:	MD
Telephone Number	:	917-204-6110

Provider Enumeration Date	:	02/17/2009
Last Update Date	:	03/30/2012

Similar Medicare Providers

1740259720 — SOL DEL VALLE MEDICAL EQUIPMENT & SUPPLIES
Practice Location Address:

6101 N 23RD ST , SUITE I
MCALLEN, TX
78504-3929

Practice Phone: 956-686-0060
Practice Fax: 956-618-2765

1750037073 — ELEAINE TAYLOR PA
Practice Location Address:

1005 E NOLANA AVE
MCALLEN, TX
78504-6101

Practice Phone: 956-686-6510
Practice Fax:

1508700337 — LAURA LETICIA HERNANDEZ
Practice Location Address:

605 E VIOLET AVE STE 3
MCALLEN, TX
78504-2469

Practice Phone: 210-447-0039
Practice Fax:

1235073032 — ANGELS OF LOVE
Practice Location Address:

1305 E NOLANA AVE STE D
MCALLEN, TX
78504-6115

Practice Phone: 956-972-0685
Practice Fax:

1205669454 — TIFFANY ROSE GRAVADOR-FLORES FNP-BC
Practice Location Address:

801 E NOLANA AVE STE 13A
MCALLEN, TX
78504-6117

Practice Phone: 956-897-2359
Practice Fax:

1831033869 — BECOMING COUNSELING AND CONSULTATION, PLLC
Practice Location Address:

2208 PRIMROSE AVE STE M
MCALLEN, TX
78504-4162

Practice Phone: 956-735-1356
Practice Fax:

Directions to “CLINICA SAN MARTIN DE PORRES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.