Provider Demographics
NPI:1457342479
Name:ONETO, MIGUEL A (MD)
Entity Type:Individual
Prefix:
First Name:MIGUEL
Middle Name:A
Last Name:ONETO
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 1:28430 VALENCIA CIR W
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-2241
Mailing Address - Country:US
Mailing Address - Phone:956-627-3083
Mailing Address - Fax:
Practice Address - Street 1:17371 BALARIA ST
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-3279
Practice Address - Country:US
Practice Address - Phone:956-622-4470
Practice Address - Fax:888-557-6285
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL46172085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX151367301Medicaid
TX151367303Medicaid
TX151367301Medicaid
H62131Medicare UPIN
TX84752RMedicare ID - Type Unspecified