NPIMap

Organization Active NPI

South Texas Wellness Center LLC

  • Family Medicine Physician
  • McAllen, TX
National Provider Identifier
1336593128
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTH TEXAS WELLNESS CENTER LLC
Practice address
1700 W Dove Ave Unit 80
McAllen, TX 78504-4462
Phone
(956) 467-5920
Fax
(956) 928-9464
NPI assigned
Apr 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Mr. Jorge Enrique Rosas-Ramirez
Title
Manager-Owner
Phone
(956) 467-5920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1700 W Dove Ave Unit 80
McAllen, TX 78504-4462

Mailing address

1108 S 1St 1/2 St
None
McAllen, TX 78501-1149
Phone (956) 381-2747

Other names 1

  • Medi Weightloss Doing business as

National Provider Directory

National Provider Directory

Locations

1700 W Dove Ave
Ste 80
McAllen, TX 78504
Phone (956) 467-5920

722 N Main St
McAllen, TX 78501

Practitioners & affiliated clinicians

Practitioners 5

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": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1336593128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 S 1ST 1/2 ST",
            "address_2": "NONE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785011149",
            "telephone_number": "956-381-2747",
            "fax_number": "956-928-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W DOVE AVE UNIT 80",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044462",
            "telephone_number": "956-467-5920",
            "fax_number": "956-928-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "ROSAS-RAMIREZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "MANAGER-OWNER",
        "authorized_official_telephone_number": "956-467-5920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi Weightloss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.