Active NPI
Juan F. Rodriguez, M.D.
- Surgery Physician
- Brownsville, TX
National Provider Identifier
1316907967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D7783
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00T244 | Other | TX | BLUE CROSS BLUE SHIELD |
| 062900248 | Other | TX | MEDICARE RAIL ROAD |
| 120452101 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| D7783 | TX | MD | Surgery Physician |
| E0278 | TX | MD | Surgery 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.