MEDICARE: JOEY ANDREW UGALINO M.D.

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	L6690	TX
2	207R00000X	Internal Medicine Physician	L6690	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922084599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEY ANDREW UGALINO M.D.

Provider Business Mailing Address
First Line	:	95 E PRICE RD
Second Line	:	BLDG D
City	:	BROWNSVILLE
State	:	TX
Zip	:	78521-3578
Country	:	US
Telephone Number	:	956-546-3209
Fax Number	:	956-544-8120

Provider Business Practice Location Address
First Line	:	95 E PRICE RD
Second Line	:	BLDG D
City	:	BROWNSVILLE
State	:	TX
Zip	:	78521-3578
Country	:	US
Telephone Number	:	956-546-3209
Fax Number	:	956-544-8120

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

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	04/26/2021

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