Individual provider Active NPI

Rafael Angel Uzcategui, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Edinburg, TX
National Provider Identifier
1417610569
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1102-P.A. Issued in PR
Practice address
2715 W Trenton Rd
Edinburg, TX 78539-3433
Phone
(956) 618-4878
NPI assigned
Oct 15, 2021
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1102-P.A. PR Primary

Addresses

Primary practice location

2715 W Trenton Rd
Edinburg, TX 78539-3433

Mailing address

2210 E 1St St Apt 21
Mission, TX 78572-0025
Phone (786) 702-8561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1102-P.A.PRMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1417610569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 E 1ST ST APT 21",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785720025",
            "telephone_number": "786-702-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393433",
            "telephone_number": "956-618-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZCATEGUI",
        "first_name": "RAFAEL",
        "middle_name": "ANGEL",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-15",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "1102-P.A.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.