Individual provider Active NPI

Salma Ruiz Sandoval

  • Physician Assistant
  • McAllen, TX
National Provider Identifier
1073203873
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19973 Issued in TX
Practice address
1100 E Dove Ave Ste 300
McAllen, TX 78504-4682
Phone
(956) 362-8170
Fax
(956) 362-8168
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19973 TX Primary

Addresses

Primary practice location

1100 E Dove Ave Ste 300
McAllen, TX 78504-4682

Mailing address

PO Box 2975
McAllen, TX 78502-2975
Phone (956) 362-8170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260312000856 TX Practitioner - Physician Assistant 6901389543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Specialty SurgeryGroup PAC ID 8628291820, 26 clinicians

Practice addresses (Care Compare)

1100 E Dove Ave
Suite 300
McAllen, TX 78504-4682
Phone (956) 362-8170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA19973TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Specialty Surgery Physician Assistant CurrentSince Mar 4, 2026 Accepting new patients

Locations

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

1100 E Dove Ave
Ste 300
McAllen, TX 78504
Phone (956) 362-8170

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1073203873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2975",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785022975",
            "telephone_number": "956-362-8170",
            "fax_number": "956-362-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E DOVE AVE STE 300",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044682",
            "telephone_number": "956-362-8170",
            "fax_number": "956-362-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ SANDOVAL",
        "first_name": "SALMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.