Manuel Antonio Puig, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA01816 Issued in TX

Practice address

RR 26 Box 6766-49
RR 26 Box 6766-49 Ste# B
Mission, TX 78574-2582

Phone

(956) 424-9863

Fax

(956) 424-9868

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Hacienda Family Clinic L.T.D

  • Health Service Clinic/Center
  • Mission, TX
  • NPI 1780618975
  NPD (past) Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548274335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 26 BOX 6766-49",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785742582",
            "telephone_number": "956-424-9863",
            "fax_number": "956-424-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 26 BOX 6766-49",
            "address_2": "RR 26 BOX 6766-49 STE# B",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785742582",
            "telephone_number": "956-424-9863",
            "fax_number": "956-424-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUIG",
        "first_name": "MANUEL",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Procare Health Services LLC
• Proficient Home Care Solutions, LTD
• Providence Rehabilitation Services, LLC
• Delia Elizabeth Puente, APRN-FNP
• Puig Physical Therapy, PC
• Mayra Alejandra Pulido, OTR
• Pulse Tech LLC
• Pure-Precision DME, LLC
• Sameera Ahmed Qadri, D.D.S.
• Sannichie Arkhurst Quaicoe, M.D.

• Medical Physician Assistant in Mission, TX
• Providers in Mission, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.