MAYRA L CORDOVA PA
NPI 1235532235
Physician Assistant - Medical in Laredo, TX

Q: What is Mayra Cordova's NPI number?

The NPI number for Mayra Cordova is 1235532235. It was assigned to this individual provider in the NPPES registry on October 3, 2014.

Q: What is Mayra Cordova's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Mayra Cordova was last updated on October 3, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 03, 2014PECOS EnrolledAccepts Medicare Assignment

1515 PAPPAS ST, LAREDO, TX 78041(956) 795-8100(956) 718-6294 Get Directions Write a Review

NPPES record last updated: October 3, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mayra L Cordova Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYRA L CORDOVA PA (NPI 1235532235) is an individual medical provider in Laredo, Texas, licensed in Texas (1119088 PA) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1235532235

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMAYRA L CORDOVACredential: PA

Location Address1515 PAPPAS STLaredo, TX 78041-1705

Mailing Address1515 Pappas StLaredo, TX 78041-1705 · (956) 795-8100 · Fax (956) 718-6294

Phone(956) 795-8100

Fax(956) 718-6294

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 3, 2014

✔ NPI 1235532235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TX · 1119088 PA

1515 PAPPAS ST, Laredo, TX 78041

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Other Identifiers 1

Other1119088TX · Pa Certificate

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mayra L Cordova Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345562435

PECOS Enrollment IDI20141126001285

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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