Individual provider Active NPI

Antonio Luis Romaguera-Rodriguez, PHD

  • Clinical Psychologist
  • Harlingen, TX
National Provider Identifier
1225508138
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5396 Issued in NC
Practice address
2601 Veterans Dr
Harlingen, TX 78550-8942
Phone
(956) 291-9186
NPI assigned
Dec 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 5396 NC Primary

Addresses

Primary practice location

2601 Veterans Dr
Harlingen, TX 78550-8942

Mailing address

2601 Veteran Drive
2B-199
Harlingen, TX 78550-8942
Phone (956) 291-9186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5396NCMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1225508138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 VETERAN DRIVE",
            "address_2": "2B-199",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508942",
            "telephone_number": "956-291-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 VETERANS DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508942",
            "telephone_number": "956-291-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAGUERA-RODRIGUEZ",
        "first_name": "ANTONIO",
        "middle_name": "LUIS",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-04",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.