Individual provider Active NPI

Rita Esmeralda Corona, MD

  • Internal Medicine Physician
  • Lubbock, TX
National Provider Identifier
1336302173
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P1536 Issued in TX
Practice address
4009 19TH St
Suite E
Lubbock, TX 79410-1003
Phone
(806) 778-0764
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP1-0032625 TX
Internal Medicine Physician 207R00000X P1536 TX Primary

Addresses

Primary practice location

4009 19TH St
Suite E
Lubbock, TX 79410-1003

Mailing address

4009 19TH St
Suite E
Lubbock, TX 79410-1003
Phone (806) 778-0764

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
I20130518000006 TX Practitioner - Internal Medicine 4981841509 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P1536TXMDInternal Medicine Physician
BP1-0032625TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Lubbock Integrated Medical Institute PLLC CurrentSince Sep 29, 2021 Accepting new patients
Health and Human Services Commission CurrentSince Feb 16, 2018 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Nov 30, 2024 Accepting new patients
Health and Human Services Commission Current Accepting new patients
Corona Concierge Care Internal Medicine Current Accepting new patients
Health and Human Services Commission CurrentSince Feb 16, 2018 Accepting new patients
The Grace of the Divine Healing & Wellness Center Internal Medicine PastSince Feb 28, 2013 Accepting new patients
Health and Human Services Commission Past Accepting new patients

Locations

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

2630 26th St
Lubbock, TX 79410
Phone (806) 239-5746

3401 N University Ave
Lubbock, TX 79415
Phone (806) 741-3514

540 Chapel Dr
Mexia, TX 76667
Phone (254) 562-1750

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1336302173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 19TH ST",
            "address_2": "SUITE E",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101003",
            "telephone_number": "806-778-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 19TH ST",
            "address_2": "SUITE E",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101003",
            "telephone_number": "806-778-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONA",
        "first_name": "RITA",
        "middle_name": "ESMERALDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP1-0032625",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.