Provider Demographics
NPI:1144456823
Name:MANONGAS, MARIA AURORA RAYPON (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA AURORA
Middle Name:RAYPON
Last Name:MANONGAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIA AURORA
Other - Middle Name:
Other - Last Name:RAYPON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2500 FATIMA AVE APT 32
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78541-5668
Mailing Address - Country:US
Mailing Address - Phone:956-388-0638
Mailing Address - Fax:
Practice Address - Street 1:316 CONQUEST STE 300
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3012
Practice Address - Country:US
Practice Address - Phone:956-383-7788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-08
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP1354208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144423402Medicaid
TX144423401Medicaid