NPIMap

Organization Active NPI

RGV Senior Care, PC

  • Clinical Psychologist
  • Edinburg, TX
National Provider Identifier
1124116322
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
RGV SENIOR CARE, PC
Practice address
2529 W Trenton Rd
Edinburg, TX 78539-5070
Phone
(956) 994-3880
Fax
(956) 994-3877
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Jorge A. Gonzalez
Title
Business Manager
Phone
(956) 994-3880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2529 W Trenton Rd
Edinburg, TX 78539-5070

Mailing address

2529 W Trenton Rd
Edinburg, TX 78539-5070
Phone (956) 994-3880

Other identifiers 2

IdentifierTypeStateIssuer
00613ROtherTXMEDICARE PART B
146848001MedicaidTX

National Provider Directory

National Provider Directory

Locations

2529 W Trenton Rd
Edinburg, TX 78539
Phone (361) 888-7999

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1124116322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395070",
            "telephone_number": "956-994-3880",
            "fax_number": "956-994-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395070",
            "telephone_number": "956-994-3880",
            "fax_number": "956-994-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGV SENIOR CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "956-994-3880"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "00613R",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146848001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.