MEDICARE: VIRGINIA MANCILLAS

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	225000000X	Orthotic Fitter

General Provider Information

NPI Number	:	1619170370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRGINIA MANCILLAS

Provider Business Mailing Address
First Line	:	PO BOX 331580
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78463-1580
Country	:	US
Telephone Number	:	361-888-7752
Fax Number	:	361-888-7424

Provider Business Practice Location Address
First Line	:	2216 N 10TH ST
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78501-4002
Country	:	US
Telephone Number	:	956-686-0032
Fax Number	:	361-888-7424

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

Provider Enumeration Date	:	06/08/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1346705795 — THREE BEAUTIFUL LIVES,LLC
Practice Location Address:

2214 N 10TH ST
MCALLEN, TX
78501-4002

Practice Phone: 956-322-5967
Practice Fax: 956-322-8027

1457552234 — MR. CARL W DORMAN CO.,LO
Practice Location Address:

2216 N 10TH ST
MCALLEN, TX
78501-4002

Practice Phone: 956-686-0032
Practice Fax: 361-888-7424

1912100678 — LEONE DORMAN
Practice Location Address:

2216 N 10TH ST
MCALLEN, TX
78501-4002

Practice Phone: 956-686-0032
Practice Fax: 361-888-7424

1326215799 — RIO GRANDE VALLEY OPTICAL LTD
Practice Location Address:

2214 N 10TH ST
MCALLEN, TX
78501-4002

Practice Phone: 956-630-3999
Practice Fax: 956-630-2820

1750786679 — LAS FLOREZ ADULT DAY CARE LLC
Practice Location Address:

2214 N 10TH ST
MCALLEN, TX
78501-4002

Practice Phone: 956-250-6164
Practice Fax:

1356853097 — LAS FLOREZ PRIMARY HOME CARE, LLC
Practice Location Address:

2214 N 10TH ST
MCALLEN, TX
78501-4002

Practice Phone: 956-686-1588
Practice Fax: 956-686-1588

Directions to “ VIRGINIA MANCILLAS ” 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.