Ruben D Bocanegra MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J8919 Issued in TX

Legal business name

RUBEN D BOCANEGRA MD PA

Practice address

4151 Jaime Zapata Memorial Hwy
Ste 101-B
Laredo, TX 78043-4741

Phone

(956) 724-2800

Fax

(956) 724-4167

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ruben D Bocanegra, MDNPI 1205820602

Title

Owner

Phone

(956) 724-2800

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Ruben D Bocanegra, MD

  • Family Medicine Physician
  • Laredo, TX
  • NPI 1205820602
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1164581609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 JAIME ZAPATA MEMORIAL HWY",
            "address_2": "STE 101-B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434741",
            "telephone_number": "956-724-2800",
            "fax_number": "956-724-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 JAIME ZAPATA MEMORIAL HWY",
            "address_2": "STE 101-B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434741",
            "telephone_number": "956-724-2800",
            "fax_number": "956-724-4167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7210 McPherson Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780416505",
            "country_code": "US",
            "telephone_number": "956-724-2800",
            "fax_number": "956-724-4167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RUBEN D BOCANEGRA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "BOCANEGRA",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-724-2800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J8919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ruben@rubendbocanegra.amazing-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4151 JAIME ZAPATA MEMORIAL HWY",
            "address_2": "STE 101-B",
            "city": "Laredo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780434741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joyce Vanessa Roque, MA, LPC, LCDC
• Ana Lydia Rosales, COTA
• Rosalinda Bennett
• Gregory Scott Roth, MD
• Susan W Roy, P.T.
• Laura Rubio York
• Adrian Rubio
• Aimee Rubio
• Priscilla Rubio, OTR
• William R Rublee, D.C.

• Family Medicine Physician in Laredo, TX
• Providers in Laredo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.