Individual provider Active NPI

Maria Ruby Guajardo, M.D.

  • Family Medicine Physician
  • Edinburg, TX
National Provider Identifier
1780723114
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L4957 Issued in TX
Practice address
5111 S McColl Rd
Edinburg, TX 78539-8278
Phone
(956) 668-1200
Fax
(956) 668-1212
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L4957 TX Primary
Obstetrics & Gynecology Physician 207V00000X L4957 TX

Addresses

Primary practice location

5111 S McColl Rd
Edinburg, TX 78539-8278

Mailing address

5111 S McColl Rd
Edinburg, TX 78539-8278
Phone (956) 668-1200

Other identifiers 2

IdentifierTypeStateIssuer
152757404MedicaidTX
152757403MedicaidTX

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915001102 TX Practitioner - Family Practice 2567587462 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Edinburg, TX; McAllen, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5111 S McColl Rd
Edinburg, TX 78539-8278
Phone (956) 668-1200

5533 N McColl Rd
McAllen, TX 78504-2208
Phone (956) 540-7749

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Ruby Guajardo, M.D., P.a. CurrentSince Jan 18, 2025 Accepting new patients
Renaissance Medical Foundation Family Medicine Current Accepting new patients
Nova Oncology PLLC CurrentSince Apr 13, 2025 Accepting new patients
Doctors Hospital at Renaissance, LTD Past Accepting new patients

Locations

5111 S McColl Rd
Edinburg, TX 78539
Phone (956) 668-1200

5533 N McColl Rd
McAllen, TX 78504
Phone (956) 317-7966

1200 E Savannah Ave
Ste 14
McAllen, TX 78503
Phone (956) 421-2757

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3fe59471-3589-4f65-b447-b92822bfc057/

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1780723114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398278",
            "telephone_number": "956-668-1200",
            "fax_number": "956-668-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398278",
            "telephone_number": "956-668-1200",
            "fax_number": "956-668-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAJARDO",
        "first_name": "MARIA",
        "middle_name": "RUBY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L4957",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L4957",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152757404",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152757403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.