Edilberto R Miguel, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G1116 Issued in TX

Practice address

317 E 2ND Street
Dumas, TX 79029

Phone

(806) 935-9194

Fax

(806) 935-7261

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mcntyhosp@direct.mchd.md

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1154498855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 558",
            "address_2": "317 E 2ND STREET",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "79029",
            "telephone_number": "806-935-9194",
            "fax_number": "806-935-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E 2ND STREET",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "79029",
            "telephone_number": "806-935-9194",
            "fax_number": "806-935-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGUEL",
        "first_name": "EDILBERTO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G1116",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G1116",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035380701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Care Enterprises PLLC
• Maria De Jesus Mejia, PTA
• Haylie Melton
• Timothy Robert Michaud, OTR
• Mid-States Medical, Inc.
• Jordan Scott Mitchell, M.D.
• Moore County Hospital District
• Moore County Hospital District
• Moore County Pho LLC
• Moore County Physician Group

• Internal Medicine Physician in Dumas, TX
• Providers in Dumas, 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 Jul 6, 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.