Individual provider Active NPI

Juan F. Rodriguez, M.D.

  • Surgery Physician
  • Brownsville, TX
National Provider Identifier
1316907967
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D7783 Issued in TX
Practice address
4970 N Expressway
Suite a
Brownsville, TX 78526-4268
Phone
(956) 350-2300
Fax
(956) 350-2622
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D7783 TX Primary

Addresses

Primary practice location

4970 N Expressway
Suite a
Brownsville, TX 78526-4268

Mailing address

4970 N Expressway # 7783
Suite a
Brownsville, TX 78526-4268
Phone (956) 350-2500

Other identifiers 3

IdentifierTypeStateIssuer
00T244OtherTXBLUE CROSS BLUE SHIELD
062900248OtherTXMEDICARE RAIL ROAD
120452101MedicaidTX

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
I20050606000516 TX Practitioner - General Surgery 3870536428 Practice locations: Brownsville, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D7783TXMDSurgery Physician
E0278TXMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1316907967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4970 N EXPRESSWAY # 7783",
            "address_2": "SUITE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264268",
            "telephone_number": "956-350-2500",
            "fax_number": "956-350-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4970 N EXPRESSWAY",
            "address_2": "SUITE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264268",
            "telephone_number": "956-350-2300",
            "fax_number": "956-350-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JUAN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "D7783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00T244",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "062900248",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120452101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.