NPIMap

Organization Active NPI

Padre Island Health Specialists PA

  • Family Medicine Physician
  • South Padre Island, TX
National Provider Identifier
1376657023
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7201 Issued in TX
Legal business name
PADRE ISLAND HEALTH SPECIALISTS PA
Practice address
3401 Padre Blvd
Suite B
South Padre Island, TX 78597-7124
Phone
(956) 772-1911
Fax
(956) 772-9010
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Dr. Rolando Posada, MDNPI 1578526091
Title
Owner
Phone
(956) 772-1911

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K7201 TX Primary

Addresses

Primary practice location

3401 Padre Blvd
Suite B
South Padre Island, TX 78597-7124

Mailing address

3401 Padre Blvd
Suite B
South Padre Island, TX 78597-7124
Phone (956) 772-1911

Other identifiers 1

IdentifierTypeStateIssuer
169024001MedicaidTX

National Provider Directory

National Provider Directory

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": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1376657023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 PADRE BLVD",
            "address_2": "SUITE B",
            "city": "SOUTH PADRE ISLAND",
            "state": "TX",
            "postal_code": "785977124",
            "telephone_number": "956-772-1911",
            "fax_number": "956-772-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 PADRE BLVD",
            "address_2": "SUITE B",
            "city": "SOUTH PADRE ISLAND",
            "state": "TX",
            "postal_code": "785977124",
            "telephone_number": "956-772-1911",
            "fax_number": "956-772-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADRE ISLAND HEALTH SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "POSADA",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-772-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169024001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Padre Island, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.