Individual provider Active NPI

Dario Cubides, PA-C

  • Physician Assistant
  • Rancho Viejo, TX
National Provider Identifier
1366878530
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07520 Issued in TX
Practice address
809 Tesoro Ave Ste E
Rancho Viejo, TX 78575-9542
Phone
(713) 647-2447
NPI assigned
Sep 19, 2013
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA07520 TX
Physician Assistant 363A00000X PA07520 TX Primary

Addresses

Primary practice location

809 Tesoro Ave Ste E
Rancho Viejo, TX 78575-9542

Mailing address

809 Tesoro Ave
Rancho Viejo, TX 78575-9542
Phone (713) 647-2447

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160107002800 TX Practitioner - Physician Assistant 3870895881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA07520TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Valley Emergency Physicians Specialists PLLC CurrentSince Dec 7, 2017 Accepting new patients
Sunlight Imaging LLC Family Medicine Current Accepting new patients

Locations

1040 W Jefferson St
Brownsville, TX 78520
Phone (956) 423-4589

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1366878530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 TESORO AVE",
            "city": "RANCHO VIEJO",
            "state": "TX",
            "postal_code": "785759542",
            "telephone_number": "713-647-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 TESORO AVE STE E",
            "city": "RANCHO VIEJO",
            "state": "TX",
            "postal_code": "785759542",
            "telephone_number": "713-647-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUBIDES",
        "first_name": "DARIO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2022-03-02",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "PA07520",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Viejo, TX

Sources for this page

Verify at the official NPI Registry.