Organization Active NPI

Marcos a. Aquino, M.D.,P.a.

  • Specialist
  • Pasadena, TX
National Provider Identifier
1336462340
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D8646 Issued in TX
Legal business name
MARCOS A. AQUINO, M.D.,P.A.
Practice address
3331 Fairview St
Pasadena, TX 77504-1903
Phone
(713) 943-1640
Fax
(713) 943-8639
NPI assigned
Mar 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Dr. Marcos A. Aquino, M.D.NPI 1871561308
Title
Physician
Phone
(713) 943-1640

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D8646 TX Primary

Addresses

Primary practice location

3331 Fairview St
Pasadena, TX 77504-1903

Mailing address

3331 Fairview St
Pasadena, TX 77504-1903
Phone (713) 943-1640

Other identifiers 2

IdentifierTypeStateIssuer
0352775-01MedicaidTX
1871561308OtherINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101119000847 TX Part B Supplier - Clinic/Group Practice 7517153208 Receives reassigned benefits from 3 practitioners
Practice locations: Pasadena, TX

National Provider Directory

National Provider Directory

Locations

3331 Fairview St
Pasadena, TX 77504
Phone (713) 943-1640

Practitioners & affiliated clinicians

Practitioners 4

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": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1336462340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 FAIRVIEW ST",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041903",
            "telephone_number": "713-943-1640",
            "fax_number": "713-943-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 FAIRVIEW ST",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041903",
            "telephone_number": "713-943-1640",
            "fax_number": "713-943-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCOS A. AQUINO, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "713-943-1640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "D8646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0352775-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1871561308",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.