Pedicare LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

PEDICARE LLC

Practice address

3141 Center Point Dr
Edinburg, TX 78539-8433

Phone

(956) 688-5781

Fax

(956) 688-6114

NPI assigned

Oct 6, 2011

Organization subpart

No

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

Authorized official

Name

Perla E Tamez

Title

Owner

Phone

(956) 648-2543

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1366726457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S 12TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785014923",
            "telephone_number": "956-648-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 CENTER POINT DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398433",
            "telephone_number": "956-688-5781",
            "fax_number": "956-688-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDICARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "TAMEZ",
        "authorized_official_first_name": "PERLA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-648-2543"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gladys Pedraza
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• Josue Wilfredo Pena Martinez, M.D.
• Adrianne Nicole Pena

• Rehabilitation Clinic/Center in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.