Roderick V. Vergel de Dios, M.D., P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K1713 Issued in TX

Legal business name

RODERICK V. VERGEL DE DIOS, M.D., P.A.

Practice address

5105 N McColl Rd
McAllen, TX 78504-2331

Phone

(956) 686-6644

Fax

(956) 686-6643

NPI assigned

Jul 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Roderick Villaroman Vergel de Dios, M.D.NPI 1528072014

Title

Director

Phone

(956) 686-6644

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Vergel de Dios Family Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roderick Villaroman Vergel de Dios, M.D.

  • Family Medicine Physician
  • McAllen, TX
  • NPI 1528072014
  NPD (past) Authorized official
• Mary Grace Pastor, MD

  • Family Medicine Physician
  • Beaumont, TX
  • NPI 1518966647
  NPD (past)

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1083879019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 N MCCOLL RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042331",
            "telephone_number": "956-686-6644",
            "fax_number": "956-686-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 N MCCOLL RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042331",
            "telephone_number": "956-686-6644",
            "fax_number": "956-686-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODERICK V. VERGEL DE DIOS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "VERGEL DE DIOS",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "VILLAROMAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "956-686-6644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K1713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080152499",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5805616",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0021DF",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH PLAN",
            "identifier": "116761",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID EPSDT",
            "identifier": "126632205",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "A001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126632202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vergel de Dios Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Silia Rodriguez Robles, OTR
• Andrea Marie Rocha, SLP-ASSISTANT
• Javier Rocha, P.T.
• Rock Bridge Home Health Agency, Inc
• Yvette L Rodas
• Rodney S. Carlson
• Rodolfo a Quintana PSYD PA
• Rodrigo Lema MD PA
• Gideao Rodrigues
• Isabel Cristina Martins Rodrigues, NP

• Family Medicine Physician in McAllen, TX
• Providers in McAllen, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.