Diabetes and Cardiovascular of Rockport, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

J1539 Issued in TX

Legal business name

DIABETES AND CARDIOVASCULAR OF ROCKPORT, PLLC

Practice address

2600 Lakeview Dr
Suite D
Rockport, TX 78382-3552

Phone

(361) 790-5155

Fax

(361) 790-5156

NPI assigned

Feb 2, 2015

Last updated

Apr 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mario Perez, D.O.NPI 1841222890

Title

Owner

Phone

(361) 790-5155

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mario Perez, D.O.

  • Family Medicine Physician
  • Rockport, TX
  • NPI 1841222890
  Medicare reassignment NPD Authorized official
• Christopher Peter Lucci, MD

  • Public Health & General Preventive Medicine Physician
  • Rockport, TX
  • NPI 1447241955
  Medicare reassignment NPD

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1033509732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 LAKEVIEW DR",
            "address_2": "SUITE D",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823552",
            "telephone_number": "361-790-5155",
            "fax_number": "361-790-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 LAKEVIEW DR",
            "address_2": "SUITE D",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823552",
            "telephone_number": "361-790-5155",
            "fax_number": "361-790-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES AND CARDIOVASCULAR OF ROCKPORT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-790-5155",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K4526",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "J1539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00N7N0",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Codorniz Billing, LLC (Family Medicine of Rockport)
• Irvin Corre, PMHNP
• Lincoln Wayne Davis, PTA
• Miguel L Desocarraz Jr., PHD
• Erlinda Devera, MD
• Ladislav Doupnik, M.D.
• Dr. Melecio F Apostol M.D.
• Dr. Mitchel L. Wess, PA
• Dawn F Edwards, LCDC
• Elizabeth Hackleman D C Inc (Rockport Chiropractic & Accupuncture)

• General Practice Physician in Rockport, TX
• Providers in Rockport, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.