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Organization
PALOMA HEALTHCARE LLC
Active
Organization
PALOMA HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY RUIZ (BUSINESS MANAGER)
(956) 541-9797
Entity
Organization
Contact information
Practice address
864 CENTRAL BLVD., STE 200, BROWNSVILLE, TX 78520
(956) 541-9797
(956) 541-9393
Mailing address
864 CENTRAL BLVD., STE 200, BROWNSVILLE, TX 78520
(956) 541-9797
(956) 541-9393
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0247DC
BCBS PROVIDER NUMBER
TX
01
—
4565098
AETNA PROVIDER NUMBER
TX
Enumeration date
10/03/2006
Last updated
08/22/2020
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