Provider Demographics
NPI:1639185499
Name:CARLOS E. CHINEA M.D., P.A.
Entity type:Organization
Organization Name:CARLOS E. CHINEA M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:E
Authorized Official - Last Name:CHINEA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-576-3277
Mailing Address - Street 1:605 E SAN ANTONIO ST
Mailing Address - Street 2:SUITE 414E
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-6040
Mailing Address - Country:US
Mailing Address - Phone:361-576-3277
Mailing Address - Fax:361-576-3271
Practice Address - Street 1:2700 CITIZENS PLZ STE 400
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5757
Practice Address - Country:US
Practice Address - Phone:361-576-3277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8072207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1639192370OtherINDIVIDUAL NPI
TX8H8100OtherBCBS
TX7906007OtherAETNA
TX8H8100OtherBCBS
TXH00257Medicare UPIN
TX00967UMedicare ID - Type UnspecifiedGROUP MEDICARE