NPIMap

Organization Active NPI

R. Sergio Ramirez, M.D., P.a.

  • Pediatrics Physician
  • Mission, TX
National Provider Identifier
1396905543
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
R. SERGIO RAMIREZ, M.D., P.A.
Practice address
210 S Bryan Rd
Suite 5 a
Mission, TX 78572-6204
Phone
(956) 585-6611
Fax
(956) 585-1822
NPI assigned
Jun 11, 2008
Last updated
May 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Dr. Rogelio Sergio Ramirez, M.D.NPI 1306025150
Title
Ceo/President
Phone
(956) 585-6611

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
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

210 S Bryan Rd
Suite 5 a
Mission, TX 78572-6204

Mailing address

210 S Bryan Rd
Suite 5 a
Mission, TX 78572-6204
Phone (956) 585-6611

Other identifiers 1

IdentifierTypeStateIssuer
137317708MedicaidTX

Other names 1

  • MISSION PEDIATRIC CENTER Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0503810Mission Pediatric Center210 South Bryan Road Suite 5a, Mission, TX 78572ComplianceFeb 14, 2028

National Provider Directory

National Provider Directory
Tax ID family
Alton Pediatric Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the 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, 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": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1396905543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S BRYAN RD",
            "address_2": "SUITE 5 A",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726204",
            "telephone_number": "956-585-6611",
            "fax_number": "956-585-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S BRYAN RD",
            "address_2": "SUITE 5 A",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726204",
            "telephone_number": "956-585-6611",
            "fax_number": "956-585-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. SERGIO RAMIREZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "ROGELIO",
        "authorized_official_middle_name": "SERGIO",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "956-585-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137317708",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MISSION PEDIATRIC CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.