Jose A Rodriguez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00520 Issued in TX

Practice address

1044 W Acacia Ave
Ste B
Alamo, TX 78516

Phone

(956) 783-9100

Fax

(956) 783-9809

NPI assigned

Sep 17, 2008

Last updated

Sep 17, 2008By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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 a Rodriguez PA-C LLC

  dba RGV Childrens Clinic

  • General Practice Physician
  • Alamo, TX
  • NPI 1770732505
  NPD Authorized official

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1396994125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 W ACACIA AVE",
            "address_2": "STE B",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "78516",
            "telephone_number": "956-783-9100",
            "fax_number": "956-783-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 W ACACIA AVE",
            "address_2": "STE B",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "78516",
            "telephone_number": "956-783-9100",
            "fax_number": "956-783-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RGV Physical Therapy & Aquatic Rehab, LLC
• Rio Home Care, LLC (Rio Home Care)
• Coral Rivera, LVN
• Roadrunner DME Corporation (Roadrunner DME)
• Ivan Rodriguez, CPHT
• Karla Rodriguez, BCBA, LBA
• Amorette Salas, SLPA
• Ana M Salas, COTA
• Angela Salinas, LPC
• Olga Ruby Salinas, D.D.S.

• Physician Assistant in Alamo, TX
• Providers in Alamo, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.