Organization Active NPI

RGV Health Medical Clinic, PLLC

  • Primary Care Clinic/Center
  • Brownsville, TX
National Provider Identifier
1215650668
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RGV HEALTH MEDICAL CLINIC, PLLC
Practice address
832 Ridgewood St Ste B
Brownsville, TX 78520-0102
Phone
(956) 667-5298
NPI assigned
Sep 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Rafael Otero, MDNPI 1790289791
Title
Owner / Physician
Phone
(956) 545-5036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

832 Ridgewood St Ste B
Brownsville, TX 78520-0102

Mailing address

832 Ridgewood St Ste B
Brownsville, TX 78520-0102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221010003017 TX Part B Supplier - Clinic/Group Practice 9032595384 Receives reassigned benefits from 2 practitioners
Practice locations: Brownsville, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2267894RGV Health Medical Clinic, PLLC832 Ridgewood St, Suite B, Brownsville, TX 78520Certificate of waiverSep 1, 2026

National Provider Directory

National Provider Directory

Locations

832 Ridgewood St
Ste B
Brownsville, TX 78520
Phone (956) 667-5298

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1215650668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 RIDGEWOOD ST STE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785200102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 RIDGEWOOD ST STE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785200102",
            "telephone_number": "956-667-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGV HEALTH MEDICAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "956-545-5036",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.