Individual ProviderRuby Favela-PrezasNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address701 S Zarzamora St, San Antonio, TX 78207-5209(210) 358-7000(210) 358-9172PECOS EnrollmentBased on the most recent information from CMS, provider Ruby Favela-Prezas is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1134466774Provider TypeIndividualFull NameFavela-Prezas, RubyCredentialMSN, APRN, FNP-BCGenderFemaleSole ProprietorNoEnumeration Date1/15/2013Last Updated3/18/2019Contact InformationPractice LocationPractice Address701 S Zarzamora St, San Antonio, TX 78207-5209Phone(210) 358-7000Fax(210) 358-7406Mailing LocationMailing AddressPO Box 87, San Antonio, TX 78291-0087Phone(210) 358-9172Fax(210) 358-9183Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense663323TexasProvider IdentifiersIDDescriptionIssuerID324915303DescriptionMedicaidIssuerUnlistedTexas