MEDICARE: JHOANA RIVERA-RAMIREZ

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	363A00000X	Physician Assistant	PA20104	TX

General Provider Information

NPI Number	:	1114617768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JHOANA RIVERA-RAMIREZ

Provider Business Mailing Address
First Line	:	PO BOX 749
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-1614
Country	:	US
Telephone Number	:	956-362-8500
Fax Number	:	956-362-8735

Provider Business Practice Location Address
First Line	:	5405 N MCCOLL RD
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2206
Country	:	US
Telephone Number	:	956-362-8500
Fax Number	:	956-362-8735

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	03/16/2026

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