Individual provider Active NPI

Mariela Bueno

  • Physician Assistant
  • Weslaco, TX
National Provider Identifier
1144952524
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17685 Issued in TX
Practice address
1604 E 8TH St Ste a
Weslaco, TX 78596-5587
Phone
(956) 630-1000
NPI assigned
Jun 25, 2022
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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 PA17685 TX Primary

Addresses

Primary practice location

1604 E 8TH St Ste a
Weslaco, TX 78596-5587

Mailing address

36900 Mile 14 Rd
Edinburg, TX 78541-7429
Phone (956) 665-7049

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
I20240409004319 TX Practitioner - Physician Assistant 6608214630 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ricardo Abreu, M.D., PAGroup PAC ID 4688643521, 27 clinicians
Heart Clinic PLLCGroup PAC ID 5193710945, 24 clinicians

Practice addresses (Care Compare)

1604 E 8TH St
Suite a
Weslaco, TX 78596-5587
Phone (956) 447-5557

1900 S D St
McAllen, TX 78503-1507
Phone (956) 994-2000

500 E Ridge Dr
Suite 300
McAllen, TX 78503-1508
Phone (956) 630-5522

500 E Ridge Rd
McAllen, TX 78503-1508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17685TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Juan Joel Garza, MD PA Past Accepting new patients
Adolfo Kaplan, M.D., PA PastSince Mar 12, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mariela.gonzalez.1@17194.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1656115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1144952524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36900 MILE 14 RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785417429",
            "telephone_number": "956-665-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 E 8TH ST STE A",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965587",
            "telephone_number": "956-630-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENO",
        "first_name": "MARIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-25",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.