Provider Demographics
NPI:1518320324
Name:COLMENARES, CLAUDIA VIVIANA (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:VIVIANA
Last Name:COLMENARES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4422 S MCCOLL RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9608
Mailing Address - Country:US
Mailing Address - Phone:956-800-4378
Mailing Address - Fax:956-618-0451
Practice Address - Street 1:4422 S MCCOLL RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9608
Practice Address - Country:US
Practice Address - Phone:956-800-4378
Practice Address - Fax:956-800-4379
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-30
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR9201207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty