Individual provider Active NPI

Jaime Bryan Villafranca, PA

  • Physician Assistant
  • Edinburg, TX
National Provider Identifier
1851897060
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11940 Issued in TX
Practice address
2821 Michaelangelo Dr Ste 306
Edinburg, TX 78539-1418
Phone
(956) 362-2440
Fax
(956) 362-2448
NPI assigned
Apr 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA11940 TX Primary

Addresses

Primary practice location

2821 Michaelangelo Dr Ste 306
Edinburg, TX 78539-1418

Mailing address

PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-2440

Other practice location 1

597 W Sesame Dr Ste D
Harlingen, TX 78550-8770
Phone (956) 425-3706

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190412000003 TX Practitioner - Physician Assistant 6204177694 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA11940TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Marte a Martinez MD PLLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

2637 Cornerstone Blvd
Edinburg, TX 78539
Phone (956) 631-9041

7614 Rocio Dr
Laredo, TX 78041
Phone (956) 523-0503

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1851897060",
    "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": "956-362-2440",
            "fax_number": "956-362-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 MICHAELANGELO DR STE 306",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391418",
            "telephone_number": "956-362-2440",
            "fax_number": "956-362-2448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "597 W Sesame Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785508770",
            "country_code": "US",
            "telephone_number": "956-425-3706",
            "fax_number": "956-230-4236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLAFRANCA",
        "first_name": "JAIME",
        "middle_name": "BRYAN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.