Active NPI
Medical Specialist Group PA
- Physical Medicine & Rehabilitation Physician
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MDE2071
- Legal business name
- MEDICAL SPECIALIST GROUP PA
- Practice address
- 3434 Saratoga Boulevard
Corpus Christi, TX 78415 - Phone
- (361) 852-0852
- Fax
- (361) 852-0256
- NPI assigned
- Jun 13, 2007
- Last updated
- Feb 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jairo Antonio Puentes, MD
- Title
- President & Ceo
- Phone
- (361) 852-0852
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MDE2071 | TX | Primary |
Addresses
Primary practice location
3434 Saratoga Boulevard
Corpus Christi, TX 78415
Mailing address
3434 Saratoga Blvd
Corpus Christi, TX 78415-5805
Phone (361) 852-0852
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0047CV | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryLocations
3434 Saratoga Blvd
Corpus Christi, TX 78415
Phone (361) 852-0852
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.
-
- Physical Medicine & Rehabilitation Physician
- Corpus Christi, TX
- NPI 1508849944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203379200000",
"number": "1396949152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3434 SARATOGA BLVD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784155805",
"telephone_number": "361-852-0852",
"fax_number": "361-852-0256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3434 SARATOGA BOULEVARD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "78415",
"telephone_number": "361-852-0852",
"fax_number": "361-852-0256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL SPECIALIST GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-13",
"last_updated": "2008-02-19",
"status": "A",
"authorized_official_last_name": "PUENTES",
"authorized_official_first_name": "JAIRO",
"authorized_official_middle_name": "ANTONIO",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "361-852-0852",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "MDE2071",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0047CV",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.