Organization Active NPI

Carlos J Medrano MD PA

  • Primary Care Clinic/Center
  • Edinburg, TX
National Provider Identifier
1245428259
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
K8662 Issued in TX
Legal business name
CARLOS J MEDRANO MD PA
Practice address
304 S Jackson Rd
Edinburg, TX 78539-3945
Phone
(956) 380-1911
Fax
(956) 380-1913
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. Carlos J Medrano, M.D., PH.D.
Title
President
Phone
(956) 380-1911

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K8662 TX
Primary Care Clinic/Center 261QP2300X K8662 TX Primary
Urgent Care Clinic/Center 261QU0200X K8662 TX

Addresses

Primary practice location

304 S Jackson Rd
Edinburg, TX 78539-3945

Mailing address

304 S Jackson Rd
Edinburg, TX 78539-3945
Phone (956) 380-1911

Other names 1

  • Valley MedClinic Doing business as

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
45D0996522Valley Medclinic304 South Jackson Road, Edinburg, TX 78539Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory

Locations

304 S Jackson Rd
Edinburg, TX 78539
Phone (956) 279-7299

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1245428259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393945",
            "telephone_number": "956-380-1911",
            "fax_number": "956-380-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393945",
            "telephone_number": "956-380-1911",
            "fax_number": "956-380-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS J MEDRANO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "MEDRANO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-380-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K8662",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K8662",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "K8662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley MedClinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.