Active NPI
J Ricardo Sobrevilla MD PLLC
- Family Medicine Physician
- Edinburg, TX
National Provider Identifier
1295130797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P2066
- Legal business name
- J RICARDO SOBREVILLA MD PLLC
- Practice address
- 4302 S Sugar Rd
Ste 101
Edinburg, TX 78539-7073 - Phone
- (956) 388-2700
- Fax
- (956) 388-2710
- NPI assigned
- Oct 27, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daisy Sobrevilla
- Title
- Administrator
- Phone
- (956) 388-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P2066 | TX | Primary |
Addresses
Primary practice location
4302 S Sugar Rd
Ste 101
Edinburg, TX 78539-7073
Mailing address
4302 S Sugar Rd
Ste 101
Edinburg, TX 78539-7073
Phone (956) 388-2700
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494288000000",
"number": "1295130797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4302 S SUGAR RD",
"address_2": "STE 101",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785397073",
"telephone_number": "956-388-2700",
"fax_number": "956-388-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4302 S SUGAR RD",
"address_2": "STE 101",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785397073",
"telephone_number": "956-388-2700",
"fax_number": "956-388-2710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J RICARDO SOBREVILLA MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-27",
"last_updated": "2017-05-09",
"status": "A",
"authorized_official_last_name": "SOBREVILLA",
"authorized_official_first_name": "DAISY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "956-388-2700"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "P2066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 9, 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.