Organization Active NPI

J Ricardo Sobrevilla MD PLLC

  • Family Medicine Physician
  • Edinburg, TX
National Provider Identifier
1295130797
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P2066 Issued in TX
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

Updated by the provider on May 9, 2017

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.