Individual provider Active NPI

Grecia Dominguez Rivera, MD

  • Internal Medicine Physician
  • Harlingen, TX
National Provider Identifier
1396333068
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U8048 Issued in TX
Practice address
2102 Treasure Hills Blvd
Harlingen, TX 78550-8736
Phone
(956) 296-1491
Fax
(956) 389-4603
NPI assigned
Jan 7, 2021
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10073601 TX
Internal Medicine Physician 207R00000X U8048 TX Primary

Addresses

Primary practice location

2102 Treasure Hills Blvd
Harlingen, TX 78550-8736

Mailing address

PO Box 531968
Harlingen, TX 78553-1968
Phone (338) 874-8638

Other practice location 1

2101 Pease St Bldg A
Harlingen, TX 78550-8307
Phone (956) 296-1491

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213002860 TX Practitioner - Internal Medicine 3971946351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Su Clinica FamiliarGroup PAC ID 5496663429, shared by 5 NPIs, 24 clinicians

Practice addresses (Care Compare)

1706 Treasure Hills Blvd
Harlingen, TX 78550-8911
Phone (956) 365-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10073601TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince Feb 5, 2024 Accepting new patients
Health and Human Services Commission CurrentSince Feb 5, 2024 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

1401 S Rangerville Rd
Harlingen, TX 78552
Phone (956) 364-8000

1401 S Rangerville Rd
#R
Harlingen, TX 78552
Phone (956) 364-8000

Interoperability endpoints

  • Direct secure messaging: gdominguezrivera60418@direct.utmsa.com
  • Direct secure messaging: grecia.dominguez.rivera.1@27715.direct.athenahealth.com

Organizations & group practices 3

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": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1396333068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531968",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785531968",
            "telephone_number": "338-874-8638",
            "fax_number": "562-966-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 TREASURE HILLS BLVD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508736",
            "telephone_number": "956-296-1491",
            "fax_number": "956-389-4603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Pease St Bldg A",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785508307",
            "country_code": "US",
            "telephone_number": "956-296-1491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ RIVERA",
        "first_name": "GRECIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10073601",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U8048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.