J Rivera Rosales MD Internal Medicine Professional Association

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

J RIVERA ROSALES MD INTERNAL MEDICINE PROFESSIONAL ASSOCIATION

Practice address

1111 Medical Plaza Dr
Suite 190
The Woodlands, TX 77380-3476

Phone

(281) 305-0725

Fax

(281) 465-9992

NPI assigned

Aug 13, 2011

Last updated

Mar 27, 2012By 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

Julio R Rivera Rosales, MD

Title

Owner/President

Phone

(281) 305-0725

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1313193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1104105725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132184",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773932184",
            "telephone_number": "281-305-0725",
            "fax_number": "281-465-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL PLAZA DR",
            "address_2": "SUITE 190",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803476",
            "telephone_number": "281-305-0725",
            "fax_number": "281-465-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J RIVERA ROSALES MD INTERNAL MEDICINE PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-13",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "RIVERA ROSALES",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "281-305-0725",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288184901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.