Maharlika Dynasty, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAHARLIKA DYNASTY, LLC

Practice address

2729 Porter Ave
El Paso, TX 79930-3625

Phone

(915) 566-2111

Fax

(915) 562-6611

NPI assigned

Apr 23, 2010

Organization subpart

No

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

Authorized official

Name

Donovan J Rivera

Title

Managing Member

Phone

(915) 227-9172

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1902123482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11913 PASEO DORADO CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363785",
            "telephone_number": "915-227-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 PORTER AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799303625",
            "telephone_number": "915-566-2111",
            "fax_number": "915-562-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHARLIKA DYNASTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "915-227-9172"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davin E Magno, M.ED, LPC
• Monicke Magnon
• Donna Magoncia, LCSW
• Swati Mahapatra, DO
• Anthony James Mahar, PTA
• Maharlika Resources, Inc
• Hazel G Mahatha, DNP
• Sunil Ramesh Mahbubani, M.D.
• Kendra Maher
• Alexis Victoria Maiella, DO

• Skilled Nursing Facility in El Paso, TX
• Providers in El Paso, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.