Active NPI
Javier F Rodriguez, MD, PA
- Health Service Clinic/Center
- San Antonio, TX
National Provider Identifier
1457680464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- JAVIER F RODRIGUEZ, MD, PA
- Practice address
- 311 Camden St
509
San Antonio, TX 78215-2012 - Phone
- (210) 227-4278
- Fax
- (210) 227-4373
- NPI assigned
- Dec 22, 2009
- 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
- Tami Wood Rodriguez, REGISTERED NURSE
- Title
- Office Manager
- Phone
- (210) 227-4278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
311 Camden St
509
San Antonio, TX 78215-2012
Mailing address
311 Camden St
509
San Antonio, TX 78215-2012
Phone (210) 227-4278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122246501 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
311 Camden St
Ste 509
San Antonio, TX 78215
Phone (210) 227-4278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261440000000",
"number": "1457680464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 CAMDEN ST",
"address_2": "509",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782152012",
"telephone_number": "210-227-4278",
"fax_number": "210-227-4373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 CAMDEN ST",
"address_2": "509",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782152012",
"telephone_number": "210-227-4278",
"fax_number": "210-227-4373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAVIER F RODRIGUEZ, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-22",
"last_updated": "2009-12-22",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "TAMI",
"authorized_official_middle_name": "WOOD",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "210-227-4278",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122246501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.