Provider Demographics
NPI:1982827143
Name:ZAVALA-SPINETTI, LIVANIA Y (MD)
Entity Type:Individual
Prefix:DR
First Name:LIVANIA
Middle Name:Y
Last Name:ZAVALA-SPINETTI
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 1:4709 S JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-8381
Mailing Address - Country:US
Mailing Address - Phone:956-682-4500
Mailing Address - Fax:956-682-4505
Practice Address - Street 1:4709 S JACKSON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8381
Practice Address - Country:US
Practice Address - Phone:956-682-4500
Practice Address - Fax:956-682-4505
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1251208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX188773902Medicaid
TX1648644-03Medicaid