Provider Demographics
NPI:1518036573
Name:ASUAJE, JUAN DAVID (MD)
Entity Type:Individual
Prefix:
First Name:JUAN
Middle Name:DAVID
Last Name:ASUAJE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 720085
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-0085
Mailing Address - Country:US
Mailing Address - Phone:956-227-6004
Mailing Address - Fax:956-630-0472
Practice Address - Street 1:8901 N 2ND ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-1967
Practice Address - Country:US
Practice Address - Phone:956-227-6004
Practice Address - Fax:956-630-0472
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5662207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX159124006Medicaid
TX455494ZR1DOtherMEDICARE LINKED TO RAMCORP
TX8FQ301OtherBCBS
TX159124013Medicaid
TXP01580980OtherRR MEDICARE LINKED TO RAMCORP