Mayra Judith Cantazaro, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP126113 Issued in TX

Practice address

4113 Crosspoint Blvd
Edinburg, TX 78539-1803

Phone

(956) 603-1555

Fax

(956) 800-6369

NPI assigned

Aug 8, 2014

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Valley Diabetes & Endocrinology Comprehensive Center P.L.L.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Edinburg, TX
  • NPI 1376109637
  Medicare reassignment NPD

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1619386190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 N. 10TH ST",
            "address_2": "STE N2 #218",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785040809",
            "telephone_number": "956-603-1555",
            "fax_number": "956-800-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 CROSSPOINT BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391803",
            "telephone_number": "956-603-1555",
            "fax_number": "956-800-6369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 E 8th St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Weslaco",
            "state": "TX",
            "postal_code": "785967288",
            "country_code": "US",
            "telephone_number": "956-603-1555",
            "fax_number": "956-800-6369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTAZARO",
        "first_name": "MAYRA",
        "middle_name": "JUDITH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342495401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dulce Aida Cano, PA
• Edgar Noel Cano, RD/LD
• Myra Cano, LVN
• Pearl Cano
• Perla Ruth Cano, RN
• Laiza M Cantu Ramos, LCSW
• Cynthia D. Cantu-Garza, MS, CCC-SLP
• Aissa Ariana Cantu, LPC
• Angela Janell Cantu, BT
• Bianca April Cantu

• Family Nurse Practitioner in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.