RGV Kids Clinic PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RGV KIDS CLINIC PLLC

Doing business as

RGV Medical Wellness and IV Infusion Clinic

Practice address

1715 W. Tenton Rd
St. 204
Edinburg, TX 78539

Phone

(956) 270-4343

Fax

(956) 435-0018

NPI assigned

Oct 5, 2022

Last updated

Mar 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dennis Madriaga Elefante & Ma Alona Larawan Jala

Title

Owner

Phone

(956) 270-4343

Specialties & licenses 2

Addresses

Other names 1

• RGV MEDICAL WELLNESS AND IV INFUSION CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dennis Madriaga Elefante

  • Family Nurse Practitioner
  • Edinburg, TX
  • NPI 1972112118
  Medicare reassignment NPD
• Ma Alona Larawan Jala, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • McAllen, TX
  • NPI 1316463896
  Medicare reassignment NPD
• Victoria Alaniz

  • Professional Counselor
  • Edinburg, TX
  • NPI 1790613677
  NPD

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1497470124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391501",
            "telephone_number": "956-270-4343",
            "fax_number": "956-435-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 W. TENTON RD",
            "address_2": "ST. 204",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-270-4343",
            "fax_number": "956-435-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGV KIDS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "ELEFANTE & MA ALONA LARAWAN JALA",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "MADRIAGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-270-4343"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RGV MEDICAL WELLNESS AND IV INFUSION CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• RGV Endodontics LLP
• RGV Family Clinic, P.a.
• RGV Hemato-Oncology, M.D., P.a.
• RGV Institute of Pain Management LLC
• RGV Institute of Pain Management PA
• RGV Kidz Place, LLC (RGV Kidz Place)
• RGV Pediatric Special Care PA
• RGV Prosthetics, LLC
• RGV Radiology, PLLC (Renaissance Medical Imaging)
• RGV Rehab Center, LLC (RGV Rehab Center)

• Family Nurse Practitioner in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.