Organization Active NPI

Marilyn Asistores Quilon, MD.PA

  • Family Medicine Physician
  • Edinburg, TX
National Provider Identifier
1053596320
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J2485 Issued in TX
Legal business name
MARILYN ASISTORES QUILON, MD.PA
Practice address
1400 S Closner Blvd
Edinburg, TX 78539-6362
Phone
(956) 316-0860
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Marilyn S Asistores, MD
Title
Owner
Phone
(956) 316-1839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X J2485 TX Primary

Addresses

Primary practice location

1400 S Closner Blvd
Edinburg, TX 78539-6362

Mailing address

1400 S Closner Blvd
Edinburg, TX 78539-5668
Phone (956) 316-0860

Other identifiers 1

IdentifierTypeStateIssuer
0023QVOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090216000044 TX Part B Supplier - Clinic/Group Practice 3779540281 Receives reassigned benefits from 3 practitioners
Practice locations: Edinburg, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0899260Marilyn Asistores Quilon MD PA1400 S Closner Blvd, Edinburg, TX 78539Certificate of waiverJul 10, 2027

National Provider Directory

National Provider Directory

Locations

1400 S Closner Blvd
Edinburg, TX 78539
Phone (956) 316-0860

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1053596320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395668",
            "telephone_number": "956-316-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396362",
            "telephone_number": "956-316-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN ASISTORES QUILON, MD.PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "ASISTORES",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-316-1839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J2485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0023QV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.