Lisa Dolores Longoria, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04548 Issued in TX

Practice address

1100 E Dove Ave Ste 202
McAllen, TX 78504-4681

Phone

(956) 362-2410

Fax

(956) 362-2414

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Renaissance Medical Foundation

  • Internal Medicine Physician
  • Edinburg, TX
  • NPI 1467633867
  Medicare reassignment Care Compare group
• Goodside Health Medical, PLLC

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1548999451
  Medicare reassignment
• Goodside Health Medical, PLLC

  • Pediatrics Physician
  • Albuquerque, NM
  • NPI 1033972716

  Physician Assistant

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Hospital at Renaissance, LTD

  • General Acute Care Hospital
  • Edinburg, TX
  • NPI 1053317362
  Care Compare affiliation
• Doctors Hospital at Renaissance, LTD

  • Transplant Surgery Physician
  • McAllen, TX
  • NPI 1104338052

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1487876496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771614",
            "telephone_number": "956-362-2410",
            "fax_number": "956-362-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E DOVE AVE STE 202",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044681",
            "telephone_number": "956-362-2410",
            "fax_number": "956-362-2414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Angelita Dr",
            "address_2": "Suite 18 & 19",
            "address_purpose": "LOCATION",
            "city": "Weslaco",
            "state": "TX",
            "postal_code": "785964331",
            "country_code": "US",
            "telephone_number": "956-447-3852",
            "fax_number": "956-969-1251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGORIA",
        "first_name": "LISA",
        "middle_name": "DOLORES",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA04548",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Montalvo Longoria, M.A. CCC/SLP
• Cynthia Ann Longoria
• Jonathan Jacob Longoria
• Jose Maria Longoria III, D.C.
• Kimberly Longoria, LCDC
• Thalia Lopez Pacheco
• Vania Lopez Santos
• Alfredo Lopez Jr., MD
• Amanda Annette Lopez
• April E. Lopez, APRN, FNP-BC

• Physician Assistant in McAllen, TX
• Providers in McAllen, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.