Active NPI
Miguel Angel Petrozzi, M.D., P.A.
- Neurology Physician
- Edinburg, TX
National Provider Identifier
1366587727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- M1290
- Practice address
- 1102 W Trenton Rd
Edinburg, TX 78539 - Phone
- (956) 742-1077
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | M1290 | TX | Primary |
Addresses
Primary practice location
1102 W Trenton Rd
Edinburg, TX 78539
Mailing address
PO Box 530654
Harlingen, TX 78553-0654
Phone (956) 742-1077
Other practice location 1
1474 W Price Rd
#460
Brownsville, TX 78520-8687
Phone (956) 350-0779
Other practice location 2
425 E Los Ebanos Blvd Ste 100
Brownsville, TX 78520-8482
Phone (956) 546-3116
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M1290 | TX | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leonardo Garcia M.D., PA | Current | Accepting new patients | |
| Miguel a Petrozzi MD PA | Past | Accepting new patients | |
| Rafael Villalobos MD PA | Past | Accepting new patients |
Locations
2010 S Cynthia St
Ste 106
McAllen, TX 78503
Phone (956) 687-3318
Organizations & group practices 4
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- McAllen, TX
- NPI 1063909208
-
- Clinical Neurophysiology Physician
- McAllen, TX
- NPI 1700336997
-
- Pediatric Neurodevelopmental Disabilities Physician
- Brownsville, TX
- NPI 1528291713
-
- Pediatric Neurodevelopmental Disabilities Physician
- Brownsville, TX
- NPI 1386731073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1366587727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 530654",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785530654",
"telephone_number": "956-742-1077",
"fax_number": "956-626-1141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 W TRENTON RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "78539",
"telephone_number": "956-742-1077"
}
],
"practiceLocations": [
{
"address_1": "1474 W Price Rd",
"address_2": "#460",
"address_purpose": "LOCATION",
"city": "Brownsville",
"state": "TX",
"postal_code": "785208687",
"country_code": "US",
"telephone_number": "956-350-0779",
"fax_number": "956-350-5858",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "425 E Los Ebanos Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Brownsville",
"state": "TX",
"postal_code": "785208482",
"country_code": "US",
"telephone_number": "956-546-3116",
"fax_number": "956-546-8793",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETROZZI",
"first_name": "MIGUEL",
"middle_name": "ANGEL",
"credential": "M.D., P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "M1290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.