Jose Rafael Rebolledo, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

D3749 Issued in TX

Practice address

343 W Houston St
Ste #811
San Antonio, TX 78205

Phone

(210) 222-2175

Fax

(210) 222-9374

NPI assigned

Jun 30, 2006

Last updated

Jul 13, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Jose R. Rebolledo,M.D.,P.a.

  • Pediatric Cardiology Physician
  • San Antonio, TX
  • NPI 1205151107
  Authorized official Same address or phone

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1396773883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON ST",
            "address_2": "STE #811",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78205",
            "telephone_number": "210-222-2175",
            "fax_number": "210-222-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON ST",
            "address_2": "STE #811",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78205",
            "telephone_number": "210-222-2175",
            "fax_number": "210-222-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBOLLEDO",
        "first_name": "JOSE",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "D3749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100075201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josepha Magnolia Rebaldo, PHARMD
• Brandon Rebber, DDS
• Rebecca Creek Speech & Language Center PLLC
• Rebecca S. Sterling, PH.D.
• Caridad M. Rebollar, M.D.
• Genevieve Mariah Rebon, DO
• Ana Cristina Rebuck
• Cindy Arlette Rebuck, MSN-FNP
• Nancy Recalde
• Francisco Eduardo Recinos, DDS

• Pediatric Cardiology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.