Individual provider Active NPI

Rosalie S. Penafiel, PA-C

  • Physician Assistant
  • Brownsville, TX
National Provider Identifier
1124242250
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00291 Issued in TX
Practice address
191 E. Price Road
Brownsville, TX 78521-2908
Phone
(956) 621-3593
Fax
(956) 621-3689
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00291 TX Primary

Addresses

Primary practice location

191 E. Price Road
Brownsville, TX 78521-2908

Mailing address

191 E. Price Road
Brownsville, TX 78521-2908
Phone (956) 621-3593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00291TXMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1124242250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 E. PRICE ROAD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212908",
            "telephone_number": "956-621-3593",
            "fax_number": "956-621-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 E. PRICE ROAD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212908",
            "telephone_number": "956-621-3593",
            "fax_number": "956-621-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENAFIEL",
        "first_name": "ROSALIE",
        "middle_name": "S.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.