NPIMap

Individual provider Active NPI

Antonio C Rodriquez, MD

  • Pediatrics Physician
  • Laredo, TX
National Provider Identifier
1013974518
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K2371 Issued in TX
Practice address
8607 McPherson Rd
Suite 100
Laredo, TX 78045
Phone
(956) 728-8400
Fax
(956) 728-9445
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X K2371 TX
Pediatrics Physician 208000000X K2371 TX Primary

Addresses

Primary practice location

8607 McPherson Rd
Suite 100
Laredo, TX 78045

Mailing address

8607 McPherson Rd
Suite 100
Laredo, TX 78045
Phone (956) 728-8400

Other identifiers 2

IdentifierTypeStateIssuer
121280504MedicaidTX
121280503MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K2371TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bienestar Health Clinic Current Accepting new patients
Doctors Hospital of Laredo Past Accepting new patients
City of Laredo Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJHDAD/Endpoint/JJHDAD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1013974518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 MCPHERSON RD",
            "address_2": "SUITE 100",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78045",
            "telephone_number": "956-728-8400",
            "fax_number": "956-728-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 MCPHERSON RD",
            "address_2": "SUITE 100",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78045",
            "telephone_number": "956-728-8400",
            "fax_number": "956-728-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIQUEZ",
        "first_name": "ANTONIO",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K2371",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K2371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121280504",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121280503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.