MEDICARE: CARMEN ROSA MEGO ESPINOZA

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	208D00000X	General Practice Physician	022056	PR

General Provider Information

NPI Number	:	1750983284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMEN ROSA MEGO ESPINOZA

Provider Business Mailing Address
First Line	:	4913 QUINCE AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78501-8160
Country	:	US
Telephone Number	:	956-451-1357
Fax Number	:

Provider Business Practice Location Address
First Line	:	4913 QUINCE AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78501-8160
Country	:	US
Telephone Number	:	956-451-1357
Fax Number	:

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

Provider Enumeration Date	:	11/10/2020
Last Update Date	:	04/14/2026

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Directions to “ CARMEN ROSA MEGO ESPINOZA ” Practice Location

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