Active NPI
Medrano Pediatric Group PLLC
- Pediatrics Physician
- Weslaco, TX
National Provider Identifier
1194413740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- MEDRANO PEDIATRIC GROUP PLLC
- Practice address
- 415 S Airport Dr Ste E
Weslaco, TX 78596-5396 - Phone
- (956) 973-5024
- Fax
- (956) 973-5064
- NPI assigned
- May 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Otto Velasquez, MD
- Title
- President
- Phone
- (956) 973-5024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
415 S Airport Dr Ste E
Weslaco, TX 78596-5396
Mailing address
415 S Airport Dr Ste E
Weslaco, TX 78596-5396
Phone (956) 973-5024
Other practice location 1
802 E Expressway 83 Ste A
LA Joya, TX 78560-4136
Phone (956) 585-6575
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682985600000",
"number": "1194413740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 S AIRPORT DR STE E",
"city": "WESLACO",
"state": "TX",
"postal_code": "785965396",
"telephone_number": "956-973-5024",
"fax_number": "956-973-5064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 S AIRPORT DR STE E",
"city": "WESLACO",
"state": "TX",
"postal_code": "785965396",
"telephone_number": "956-973-5024",
"fax_number": "956-973-5064"
}
],
"practiceLocations": [
{
"address_1": "802 E Expressway 83 Ste A",
"address_purpose": "LOCATION",
"city": "LA Joya",
"state": "TX",
"postal_code": "785604136",
"country_code": "US",
"telephone_number": "956-585-6575",
"fax_number": "956-585-6552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MEDRANO PEDIATRIC GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A",
"authorized_official_last_name": "VELASQUEZ",
"authorized_official_first_name": "OTTO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-973-5024",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weslaco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.