Active NPI
Diego Miguel Escobedo, ACSM-CEP
- Clinical Exercise Physiologist
- Del Rio, TX
National Provider Identifier
1053060681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- License
- 1068693
- Practice address
- 106 Rose Ave
Del Rio, TX 78840-7659 - Phone
- (830) 765-7086
- NPI assigned
- Mar 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Exercise Physiologist | 224Y00000X | 1068693 | TX | Primary |
Addresses
Primary practice location
106 Rose Ave
Del Rio, TX 78840-7659
Mailing address
106 Rose Ave
Del Rio, TX 78840-7659
Phone (830) 765-7086
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1068693 | TX | MD | Clinical Exercise Physiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1053060681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 ROSE AVE",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788407659",
"telephone_number": "830-765-7086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 ROSE AVE",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788407659",
"telephone_number": "830-765-7086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCOBEDO",
"first_name": "DIEGO",
"middle_name": "MIGUEL",
"credential": "ACSM-CEP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-21",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": "TX",
"license": "1068693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Del Rio, TX
- Educare Community Living Limited Partnership
- Educare Community Living Limited Partnership
- Larry Dale Elford, D.C.
- Elite Health Clinic
- Emergency Physicians of del Rio PLLC (Emergency Physicians of Del Rio)
- Felix R Escobedo Jr., NP
- Monica Rodriguez Escobedo, MSN, APRN, FNP-C
- Ricardo Montalvo Espinoza, LPC
- Amanda Leigh Evans, BCBA
- Selina Evans, APRN/ANP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.