Provider Demographics
NPI:1366690588
Name:AMAYA CHINCHILLA, HECTOR GERARDO (MD)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:GERARDO
Last Name:AMAYA CHINCHILLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1315 E 6TH ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-4200
Mailing Address - Country:US
Mailing Address - Phone:956-351-5949
Mailing Address - Fax:956-351-5946
Practice Address - Street 1:1315 E 6TH ST
Practice Address - Street 2:SUITE 6
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-4200
Practice Address - Country:US
Practice Address - Phone:956-351-5949
Practice Address - Fax:956-351-5946
Is Sole Proprietor?:No
Enumeration Date:2008-08-29
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN0605207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L6237Medicare PIN