Eduardo O Caveda MD PA

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

K4017 Issued in TX

Legal business name

EDUARDO O CAVEDA MD PA

Practice address

110 Armstrong Street
Box 1290
Orange Grove, TX 78372

Phone

(361) 384-0909

Fax

(361) 384-9998

NPI assigned

Jul 6, 2006

Last updated

Jan 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eduardo Otto Caveda, M.D.

Title

Owner

Phone

(361) 384-0909

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1295766228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ARMSTRONG STREET",
            "address_2": "BOX 1290",
            "city": "ORANGE GROVE",
            "state": "TX",
            "postal_code": "78372",
            "telephone_number": "361-384-0909",
            "fax_number": "361-384-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ARMSTRONG STREET",
            "address_2": "BOX 1290",
            "city": "ORANGE GROVE",
            "state": "TX",
            "postal_code": "78372",
            "telephone_number": "361-384-0909",
            "fax_number": "361-384-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO O CAVEDA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "CAVEDA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "OTTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-384-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "K4017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148743101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153997501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.