Organization Active NPI

Raul Ochoa Maldonado DPM, PA

  • Podiatrist
  • Harlingen, TX
National Provider Identifier
1386937761
Registry record updated May 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1348 Issued in TX
Legal business name
RAUL OCHOA MALDONADO DPM, PA
Practice address
597 W Sesame Dr
Suite G
Harlingen, TX 78550-8364
Phone
(956) 365-3334
Fax
(956) 365-4656
NPI assigned
May 18, 2011
Last updated
May 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2011

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

Authorized official

Name
Raul Ochoa Maldonado, DPMNPI 1831160571
Title
President
Phone
(956) 365-3334

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
Podiatrist 213E00000X 1348 TX Primary

Addresses

Primary practice location

597 W Sesame Dr
Suite G
Harlingen, TX 78550-8364

Mailing address

597 W Sesame Dr
Suite G
Harlingen, TX 78550-8364
Phone (956) 365-3334

Other identifiers 1

IdentifierTypeStateIssuer
018574601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050301000650 TX Part B Supplier - Clinic/Group Practice 0648223735 Receives reassigned benefits from 1 practitioner
Practice locations: Harlingen, TX

National Provider Directory

National Provider Directory

Locations

597 W Sesame Dr
Ste G
Harlingen, TX 78550
Phone (956) 365-3334

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306713600000",
    "number": "1386937761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 W SESAME DR",
            "address_2": "SUITE G",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508364",
            "telephone_number": "956-365-3334",
            "fax_number": "956-365-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 W SESAME DR",
            "address_2": "SUITE G",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508364",
            "telephone_number": "956-365-3334",
            "fax_number": "956-365-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL OCHOA MALDONADO DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-30",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "OCHOA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-365-3334",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018574601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.