Enrique Rodriguez, M.D., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J4998 Issued in TX

Legal business name

ENRIQUE RODRIGUEZ, M.D., P.A.

Practice address

1902 50TH St
Lubbock, TX 79412-2706

Phone

(806) 771-1386

Fax

(806) 771-1388

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Enrique Rodriguez, M.D.NPI 1326079021

Title

President

Phone

(806) 771-1386

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Enrique Rodriguez, M.D.

  • Internal Medicine Physician
  • Lubbock, TX
  • NPI 1326079021
  Medicare reassignment NPD Authorized official
• Joe Pete Dickinson, FNP-C

  • Family Nurse Practitioner
  • Farmersville, TX
  • NPI 1134376213
  Medicare reassignment NPD
• Traci Rodriguez, FNP

  • Nurse Practitioner
  • Lubbock, TX
  • NPI 1659301471
  Medicare reassignment NPD
• Gay Ann Tibbets, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Lubbock, TX
  • NPI 1003097155
  Medicare reassignment NPD
• Gustavo Alonso Bendeck, PA

  • Physician Assistant
  • Lubbock, TX
  • NPI 1336252220
  Medicare reassignment

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1467482182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54136",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794534136",
            "telephone_number": "806-771-1386",
            "fax_number": "806-771-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122706",
            "telephone_number": "806-771-1386",
            "fax_number": "806-771-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRIQUE RODRIGUEZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-771-1386",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J4998",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "577500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163272102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0011NR",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.