DR. GUSTAVO LICEA M.D.
NPI 1871527036
Anesthesiology in Edinburg, TX

Q: What is Gustavo Licea's NPI number?

The NPI number for Gustavo Licea is 1871527036. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is Gustavo Licea's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Gustavo Licea was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment

3513 W ALBERTA RD, EDINBURG, TX 78539(956) 664-9771(956) 664-9773 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Gustavo Licea M.d. NPPES

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

DR. GUSTAVO LICEA M.D. (NPI 1871527036) is an individual anesthesiology provider in Edinburg, Texas, licensed in Texas (J2657) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Cornerstone Regional Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1984).

NPPES Registry Identity

NPI1871527036

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. GUSTAVO LICEACredential: M.D.

Location Address3513 W ALBERTA RDEdinburg, TX 78539-8466

Mailing AddressPo Box 720550Mcallen, TX 78504-0550 · (956) 664-9771 · Fax (956) 664-9773

Phone(956) 664-9771

Fax(956) 664-9773

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1984

Enumeration DateJuly 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1871527036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in TX · J2657

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

3513 W ALBERTA RD, Edinburg, TX 78539

Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified89542KTX

Medicare UPINE54351TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Dr. Gustavo Licea M.d. 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 ID6800704834

PECOS Enrollment IDI20031121000908

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

30 services29 patients

Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01938

This procedure involves using anesthesia to numb your lower back for certain procedures like injections, drainage, or aspiration on your spine or spinal cord. Imaging guidance is used to accurately locate the area to be treated, ensuring precision and safety.

16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cornerstone Regional Hospital

Acute Care Hospitals · Edinburg, TX

OwnershipProprietary

CMS Certification Number450825

Location2302 Cornerstone BoulevardEdinburg, TX 78539 · Hidalgo County

Emergency services

Other Providers at the Same Location NPPES 13

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

ZBIGNIEW KUSMIERZ MD

Anesthesiology (Pain Medicine)