Elite Functional Health PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ELITE FUNCTIONAL HEALTH PLLC

Practice address

2215 W Fern Ave Ste B
McAllen, TX 78501-6177

Phone

(956) 476-3686

Fax

(956) 468-2079

NPI assigned

Apr 30, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Pablo Tagle IIINPI 1578759080

Title

Owner

Phone

(956) 476-3686

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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

• Linda Ingeborg Esquivel, MD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1043342181
  Medicare reassignment Care Compare group NPD
• Marissa Yvette Tagle, PA-C

  • Physician Assistant
  • McAllen, TX
  • NPI 1174899330
  Medicare reassignment Care Compare group
• Jose S Perales Jr., APRN, FNP-BC

  • Family Nurse Practitioner
  • McAllen, TX
  • NPI 1699200337
  Medicare reassignment NPD
• Pablo Tagle III, D.C.

  • Chiropractor
  • McAllen, TX
  • NPI 1578759080
  NPD Authorized official

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1104447101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 W FERN AVE STE B",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785016177",
            "telephone_number": "956-686-8060",
            "fax_number": "956-686-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 W FERN AVE STE B",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785016177",
            "telephone_number": "956-476-3686",
            "fax_number": "956-468-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE FUNCTIONAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "TAGLE",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-476-3686",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• El Oro del Pueblo Services, Inc.
• El Reino Adult Day Care LLC
• El Sinai Homecare LLC
• El Tenampa Adult Daycare LLC
• Yassin Badawi El-Najjar, MD
• Elite Health & Rehab PLLC
• Elite Home Care LLC
• Elite Medco, LLC
• Salvador Elizarraraz Jr., M.D.
• Andrea Elizondo Salinas, FNP

• Nurse Practitioner in McAllen, TX
• Providers in McAllen, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.