Individual provider Active NPI

Angelica Ruby Urbina, PA- C

  • Physician Assistant
  • McAllen, TX
National Provider Identifier
1194023093
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07109 Issued in TX
Practice address
801 S Main St
Ste C
McAllen, TX 78501-5055
Phone
(956) 686-0574
Fax
(956) 686-3301
NPI assigned
Mar 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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 PA07109 TX Primary

Addresses

Primary practice location

801 S Main St
Ste C
McAllen, TX 78501-5055

Mailing address

801 S Main St
Ste C
McAllen, TX 78501-5055
Phone (956) 686-0574

Other identifiers 2

IdentifierTypeStateIssuer
407720YLPSOtherTXWELLMED PTAN
302009102MedicaidTX

Other names 1

  • Angelica Ruby Cantu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1194023093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S MAIN ST",
            "address_2": "STE C",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015055",
            "telephone_number": "956-686-0574",
            "fax_number": "956-686-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S MAIN ST",
            "address_2": "STE C",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015055",
            "telephone_number": "956-686-0574",
            "fax_number": "956-686-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBINA",
        "first_name": "ANGELICA",
        "middle_name": "RUBY",
        "name_prefix": "Ms.",
        "credential": "PA- C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED PTAN",
            "identifier": "407720YLPS",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302009102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELICA",
            "last_name": "CANTU",
            "middle_name": "RUBY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.