Organization Active NPI

Medrano Pediatric Group PLLC

  • Pediatrics Physician
  • Weslaco, TX
National Provider Identifier
1194413740
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on May 2, 2023

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.