Organization Active NPI

Rio Grande OB GYN Group, PA

  • Obstetrics & Gynecology Physician
  • El Paso, TX
National Provider Identifier
1336147644
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
RIO GRANDE OB GYN GROUP, PA
Practice address
125 W Hague Rd
Ste. 260
El Paso, TX 79902-5814
Phone
(915) 533-7579
Fax
(915) 225-3832
NPI assigned
Jul 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Authorized official

Name
George Sanmiguel, M.D.NPI 1033117767
Title
President
Phone
(915) 533-7579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

125 W Hague Rd
Ste. 260
El Paso, TX 79902-5814

Mailing address

PO Box 843225
Boston, MA 02284-3225
Phone (915) 533-7579

Other identifiers 1

IdentifierTypeStateIssuer
156859401MedicaidTX

Other names 1

  • EL PASO OB GYN ASSOCIATES PA Former legal business name

National Provider Directory

National Provider Directory

Locations

1729B Weston Brent Ln
Ste B
El Paso, TX 79935
Phone (915) 594-8278

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1336147644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843225",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022843225",
            "telephone_number": "915-533-7579",
            "fax_number": "915-225-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W HAGUE RD",
            "address_2": "STE. 260",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025814",
            "telephone_number": "915-533-7579",
            "fax_number": "915-225-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE OB GYN GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "SANMIGUEL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-533-7579",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156859401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EL PASO OB GYN ASSOCIATES PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.