NPIMap

Organization Active NPI

Performance Enhancing Nutrition

  • Gastroenterology Physician
  • McAllen, TX
National Provider Identifier
1366633513
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
H2734 Issued in TX
Legal business name
PERFORMANCE ENHANCING NUTRITION
Practice address
801 E. Nolana Ave
Suite 4
McAllen, TX 78504-6113
Phone
(956) 686-2626
Fax
(956) 686-1616
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Authorized official

Name
Dr. Jose Rodriguez, M.D.
Title
President
Phone
(956) 584-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X H2734 TX Primary

Addresses

Primary practice location

801 E. Nolana Ave
Suite 4
McAllen, TX 78504-6113

Mailing address

801 E. Nolana Ave
Suite 4
McAllen, TX 78504-6113
Phone (956) 686-2626

National Provider Directory

National Provider Directory

Locations

2518 E Griffin Pkwy
#B
Mission, TX 78572
Phone (956) 584-9000

Practitioners & affiliated clinicians

Practitioners 1

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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1366633513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E. NOLANA AVE",
            "address_2": "SUITE 4",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046113",
            "telephone_number": "956-686-2626",
            "fax_number": "956-686-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E. NOLANA AVE",
            "address_2": "SUITE 4",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046113",
            "telephone_number": "956-686-2626",
            "fax_number": "956-686-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE ENHANCING NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-584-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "H2734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 2, 2010; 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.