Individual provider Active NPI

Laura C Flores-Rodriguez

  • Obstetrics & Gynecology Physician
  • Kingsville, TX
National Provider Identifier
1104121250
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R0233 Issued in TX
Practice address
1311 General Cavazos Blvd
Kingsville, TX 78363-7150
Phone
(361) 592-2223
Fax
(361) 592-1967
NPI assigned
Jan 21, 2011
Last updated
Apr 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X I8986 PR
Obstetrics & Gynecology Physician 207V00000X R0233 TX Primary

Addresses

Primary practice location

1311 General Cavazos Blvd
Kingsville, TX 78363-7150

Mailing address

1821 S Sesame SQ
Suite 5
Harlingen, TX 78550-9288
Phone (956) 423-4434

Other practice location 1

1821 S Sesame Sq
Suite 5
Harlingen, TX 78550-9288
Phone (956) 423-4434 ext. 1009

Other identifiers 4

IdentifierTypeStateIssuer
3921801MedicaidTX
392180103MedicaidTX
P02601762OtherTXMCRR
1L5617OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180222002295 TX Practitioner - Obstetrics/Gynecology 3779880018 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
I8986PRMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Obstetrics & Gynecology CurrentSince Jan 1, 2021 Accepting new patients
C H Wilkinson Physician Network Obstetrics & Gynecology CurrentSince Feb 28, 2019 Accepting new patients
C H Wilkinson Physician Network CurrentSince Feb 28, 2019 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 1, 2021 Accepting new patients
Mitchell B. Hughston, M.D. & Susan L. Redmond, M.D., PA Obstetrics & Gynecology Past Accepting new patients
Knapp Medical Center Past Accepting new patients

Locations

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • Direct secure messaging: laura.flores-rodriguez.1@7996.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1104121250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 S SESAME SQ",
            "address_2": "SUITE 5",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785509288",
            "telephone_number": "956-423-4434",
            "fax_number": "956-423-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 GENERAL CAVAZOS BLVD",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783637150",
            "telephone_number": "361-592-2223",
            "fax_number": "361-592-1967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1821 S Sesame Sq",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785509288",
            "country_code": "US",
            "telephone_number": "956-423-4434 x1009",
            "fax_number": "956-423-4443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES-RODRIGUEZ",
        "first_name": "LAURA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "I8986",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "R0233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3921801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "392180103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P02601762",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1L5617",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsville, TX

Sources for this page

Verify at the official NPI Registry.