Individual provider Active NPI

Marimer Rivera Vazquez, MD

  • Family Medicine Physician
  • McAllen, TX
National Provider Identifier
1255651071
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P6903 Issued in TX
Practice address
224 Lindberg Ave Ste A4
McAllen, TX 78501-2920
Phone
(956) 627-1538
Fax
(956) 420-0888
NPI assigned
Jun 3, 2010
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P6903 TX Primary

Addresses

Primary practice location

224 Lindberg Ave Ste A4
McAllen, TX 78501-2920

Mailing address

224 Lindberg Ave Ste A4
McAllen, TX 78501-2920
Phone (956) 627-1538

Other identifiers 2

IdentifierTypeStateIssuer
328792205MedicaidTX
328792206MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131031001176 TX Practitioner - Family PracticePractitioner - Hospitalist 1153556071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Associates, PLLCGroup PAC ID 8628315215, 5 clinicians

Practice addresses (Care Compare)

110 E Savannah Ave
BLDG A102
McAllen, TX 78503-1230
Phone (956) 627-1538

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P6903TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fannin County Hospital Authority Past Accepting new patients
Starr County Hospital District Past Accepting new patients
Starr County Hospital District Past Accepting new patients
Oakbend Medical Center Past Accepting new patients
Premier Medical Associates ,PLLC Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBHJCD/Endpoint/DBHJCD

Organizations & group practices 7

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

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1255651071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 LINDBERG AVE STE A4",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012920",
            "telephone_number": "956-627-1538",
            "fax_number": "956-420-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 LINDBERG AVE STE A4",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012920",
            "telephone_number": "956-627-1538",
            "fax_number": "956-420-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA VAZQUEZ",
        "first_name": "MARIMER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P6903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328792205",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328792206",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.