Rodolfo M. Revilla, Mdpa

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

RODOLFO M. REVILLA, MDPA

Practice address

1600 Medical Center Dr Ste 309
El Paso, TX 79902-5008

Phone

(915) 532-9100

Fax

(915) 532-9652

NPI assigned

Mar 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Rodolfo Manuel Revilla, M.D.

Title

President

Phone

(915) 532-9100

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12606/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1104066174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE 309",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025008",
            "telephone_number": "915-532-9100",
            "fax_number": "915-532-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE 309",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025008",
            "telephone_number": "915-532-9100",
            "fax_number": "915-532-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODOLFO M. REVILLA, MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "REVILLA",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-532-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD PTAN #",
            "identifier": "160023417",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203168401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F36830",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nereida Rodarte
• Patricia Rodarte, MD
• Evelyn P Rodela, PT, DPT
• Michael Abraham Rodela, LPC
• Rodolfo Fierro-Stevens, M.D.
• Cesar Rodriguez Belmonte, CRNA
• Mirelis Del Mar Rodriguez Casillas, MD
• Daniela Ariana Rodriguez Garcia, LPC-ASSOCIATE
• Fabiola Angelica Rodriguez Gonzalez, MD
• Hector Lucas Rodriguez Gonzalez, M.D.

• Obstetrics & Gynecology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.