Roselle C. Pettorino MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

K8420 Issued in TX

Legal business name

ROSELLE C. PETTORINO MD, PA

Practice address

864 Central Blvd Ste 300
Brownsville, TX 78520-7539

Phone

(956) 541-6311

Fax

(956) 541-6387

NPI assigned

Mar 23, 2010

Organization subpart

No

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

Authorized official

Name

Roselle C. Pettorino, MD, PA

Title

General Surgeon

Phone

(956) 541-6311

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Patrick Stanely Skulemowski, DO

  • Obstetrics & Gynecology Physician
  • Brownsville, TX
  • NPI 1629045000
  NPD (past)

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1205150091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 CENTRAL BLVD STE 300",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207539",
            "telephone_number": "956-541-6311",
            "fax_number": "956-541-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 CENTRAL BLVD STE 300",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207539",
            "telephone_number": "956-541-6311",
            "fax_number": "956-541-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSELLE C. PETTORINO MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "PETTORINO",
        "authorized_official_first_name": "ROSELLE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "956-541-6311",
        "authorized_official_credential": "MD, PA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K8420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212330901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029740001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosalinda Parra (royal villa assisted living)
• Carlos Rosas, M.D.
• Mairim Rosas
• Rosa M Rosas, NATUROPATIC DOCTOR
• Rose Z. Gowen, M.D., P.a.
• RS2 Anesthesia PLLC
• Ruben Torres Dental, PLLC
• Sally Tiffany Rubio Rodriguez, RDN, LD
• Rudy Valle, DDS, Inc
• Vanessa Griselda Ruelas

• Specialist in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.