Individual provider Active NPI

Ivonne Johanna Munoz Cardozo, P.A

  • Physician Assistant
  • Edinburg, TX
National Provider Identifier
1477244259
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1656 Issued in PR
Practice address
510 Teague Ave Apt 1
Edinburg, TX 78539-3773
Phone
(956) 616-3675
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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 1656 PR Primary

Addresses

Primary practice location

510 Teague Ave Apt 1
Edinburg, TX 78539-3773

Mailing address

510 Teague Ave Apt 1
Edinburg, TX 78539-3773
Phone (956) 616-3675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

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": "1684108800000",
    "number": "1477244259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 TEAGUE AVE APT 1",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393773",
            "telephone_number": "956-616-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 TEAGUE AVE APT 1",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393773",
            "telephone_number": "956-616-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ CARDOZO",
        "first_name": "IVONNE",
        "middle_name": "JOHANNA",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "1656",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.