Individual provider Active NPI

Glynda Jane Cagaanan Raynaldo, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1285953711
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P6351 Issued in TX
Practice address
2002 Holcombe Blvd.
MCL-4a-330E
Houston, TX 77030-4298
Phone
(713) 791-1414
NPI assigned
May 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P6351 TX Primary

Addresses

Primary practice location

2002 Holcombe Blvd.
MCL-4a-330E
Houston, TX 77030-4298

Mailing address

2002 Holcombe Blvd.
MCL-4a-330E
Houston, TX 77030-4298
Phone (713) 791-1414

Other names 1

  • Mrs. Glynda Jane Deligero Caga-Anan Former name

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1285953711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 HOLCOMBE BLVD.",
            "address_2": "MCL-4A-330E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304298",
            "telephone_number": "713-791-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HOLCOMBE BLVD.",
            "address_2": "MCL-4A-330E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304298",
            "telephone_number": "713-791-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNALDO",
        "first_name": "GLYNDA JANE",
        "middle_name": "CAGAANAN",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P6351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLYNDA JANE",
            "last_name": "CAGA-ANAN",
            "middle_name": "DELIGERO",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.