Organization Active NPI

Vivian O Rodriguez

  • Endocrinology, Diabetes & Metabolism Physician
  • Houston, TX
National Provider Identifier
1447429345
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
J2980 Issued in TX
Legal business name
VIVIAN O RODRIGUEZ
Practice address
2201 W Holcombe Blvd Ste 245
Houston, TX 77030-2032
Phone
(713) 796-1188
Fax
(713) 796-1388
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Mr. Mario Alberto Lopez
Title
Manager
Phone
(713) 796-1188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X J2980 TX Primary

Addresses

Primary practice location

2201 W Holcombe Blvd Ste 245
Houston, TX 77030-2032

Mailing address

2201 W Holcombe Blvd Ste 245
Houston, TX 77030-2032
Phone (713) 796-1188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060207000818 TX Part B Supplier - Clinic/Group Practice 6800801283 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1447429345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W HOLCOMBE BLVD STE 245",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302032",
            "telephone_number": "713-796-1188",
            "fax_number": "713-796-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W HOLCOMBE BLVD STE 245",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302032",
            "telephone_number": "713-796-1188",
            "fax_number": "713-796-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIAN O RODRIGUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-796-1188",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "J2980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.