Roberto Mauro Rey, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L0540 Issued in TX

Practice address

640 S Expressway 77 Ste 2
Raymondville, TX 78580-4241

Phone

(956) 689-4120

Fax

(956) 689-4142

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wilfredo Aviles, MD P.a.

  • Pediatrics Physician
  • Weslaco, TX
  • NPI 1639225345
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1245344977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S EXPY 77 STE 2",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785804241",
            "telephone_number": "956-689-4120",
            "fax_number": "956-689-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S EXPRESSWAY 77 STE 2",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785804241",
            "telephone_number": "956-689-4120",
            "fax_number": "956-689-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REY",
        "first_name": "ROBERTO",
        "middle_name": "MAURO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L0540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5648186",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039069202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALLEY HEALTH PLANS",
            "identifier": "120589101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "8S4930",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039069203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH PLANS",
            "identifier": "119773",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymondville Isd
• Raymondville Isd Health Clinic
• Raymondville Memorial Health Center PA
• Raymonville Pediatrics
• Regional Health Concepts Incorporated
• Ileana Aide Rivera, OTR
• Stacey Amy Roberts, R.D., L.D.
• Stephen A Robinson, M. D.
• Anakaren Rodriguez, LMSW
• Cosme Gabriel Rubalcaba, MS,RDN,LD

• Pediatrics Physician in Raymondville, TX
• Providers in Raymondville, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.