NPIMap

Organization Active NPI

Raul a. Marquez, MD PA

Doing business as Orthopedics Surgery Center and Sports Medicine

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Edinburg, TX
National Provider Identifier
1366557548
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
J1302 Issued in TX
Legal business name
RAUL A. MARQUEZ, MD PA
Doing business as
Orthopedics Surgery Center and Sports Medicine
Practice address
2402 Cornerstone Blvd
Edinburg, TX 78539-8462
Phone
(956) 668-0060
Fax
(956) 668-0070
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Authorized official

Name
Dr. Raul Alfonso Marquez, M.D.NPI 1164434320
Title
Orthopedic Surgeon
Phone
(956) 668-0060

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
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0114X J1302 TX Primary

Addresses

Primary practice location

2402 Cornerstone Blvd
Edinburg, TX 78539-8462

Mailing address

2402 Cornerstone Blvd
Edinburg, TX 78539-8462
Phone (956) 680-0060

Other identifiers 1

IdentifierTypeStateIssuer
084243701MedicaidTX

Other names 1

  • Orthopedics Surgery Center and Sports Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040715001349 TX Part B Supplier - Clinic/Group Practice 8123007887 Receives reassigned benefits from 10 practitioners
Practice locations: Edinburg, TX

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cornerstone Regional HospitalEdinburg, TX, CCN 450825 Hospital 5% Or Greater Indirect Ownership Interest (9.7%) Jan 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1366557548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 CORNERSTONE BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398462",
            "telephone_number": "956-680-0060",
            "fax_number": "956-668-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 CORNERSTONE BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398462",
            "telephone_number": "956-668-0060",
            "fax_number": "956-668-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL A. MARQUEZ, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "ALFONSO",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "956-668-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "TX",
            "license": "J1302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084243701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedics Surgery Center and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.