Provider Demographics
NPI:1366208225
Name:MOYA, JOSE MARIA JR (RVS)
Entity type:Individual
Prefix:MR
First Name:JOSE
Middle Name:MARIA
Last Name:MOYA
Suffix:JR
Gender:M
Credentials:RVS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5513 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2746
Mailing Address - Country:US
Mailing Address - Phone:956-867-2551
Mailing Address - Fax:
Practice Address - Street 1:5513 N 4TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2746
Practice Address - Country:US
Practice Address - Phone:956-867-2551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC00078284246X00000X, 246XC2903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular Specialist
No246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist Cardiovascular