Basic Information
Provider Information
NPI: 1164806360
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NARANJO PALACIO
FirstName: MARIA
MiddleName: BELEN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 2646
Address2:  
City: MCALLEN
State: TX
PostalCode: 785022646
CountryCode: US
TelephoneNumber: 9563625650
FaxNumber: 9563622574
Practice Location
Address1: 2609 MICHAELANGELO DR
Address2:  
City: EDINBURG
State: TX
PostalCode: 785391417
CountryCode: US
TelephoneNumber: 9563625650
FaxNumber: 9563622574
Other Information
ProviderEnumerationDate: 07/17/2015
LastUpdateDate: 05/25/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RE0101XS9361TXY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

ID Information
IDTypeStateIssuerDescription
S936101TXTEXAS MEDICAL BOARDOTHER


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