Active NPI
Deyanira Lopez, PA-C
- Physician Assistant
- Rio Grande City, TX
National Provider Identifier
1841316403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA03193
- Practice address
- 5326 E US Highway 83
Suite a-5
Rio Grande City, TX 78582-9409 - Phone
- (956) 488-8820
- Fax
- (956) 488-8853
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA03193 | TX | Primary |
Addresses
Primary practice location
5326 E US Highway 83
Suite a-5
Rio Grande City, TX 78582-9409
Mailing address
2821 Michael Angelo
Suite 400
Edinburg, TX 78539-1404
Phone (956) 683-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA03193 | Other | TX | STATE LICENSE NUMBER |
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daria Babineaux MD PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Roma, TX
- NPI 1124312749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1841316403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 MICHAEL ANGELO",
"address_2": "SUITE 400",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785391404",
"telephone_number": "956-683-7900",
"fax_number": "956-683-9910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5326 E US HIGHWAY 83",
"address_2": "SUITE A-5",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785829409",
"telephone_number": "956-488-8820",
"fax_number": "956-488-8853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "DEYANIRA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA03193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "PA03193",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rio Grande City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.