Active NPI
Rodolfo C Humerez, MD
- Internal Medicine Physician
- Temple, TX
National Provider Identifier
1508871914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 31816
- Practice address
- 1901 Veterans Memorial Dr
Temple, TX 76504-7451 - Phone
- (800) 423-2111
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 318116 | AZ | |
| Internal Medicine Physician | 207R00000X | 31816 | AZ | Primary |
Addresses
Primary practice location
1901 Veterans Memorial Dr
Temple, TX 76504-7451
Mailing address
9004 Bella Charca Pkwy
Nolanville, TX 76559-4726
Phone (575) 318-6326
Other practice location 1
1601 N Turner St Ste 400
Hobbs, NM 88240-4337
Phone (505) 391-0354
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 318116 | AZ | MD | Internal Medicine Physician |
| 31816 | AZ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1508871914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9004 BELLA CHARCA PKWY",
"city": "NOLANVILLE",
"state": "TX",
"postal_code": "765594726",
"telephone_number": "575-318-6326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 VETERANS MEMORIAL DR",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765047451",
"telephone_number": "800-423-2111"
}
],
"practiceLocations": [
{
"address_1": "1601 N Turner St Ste 400",
"address_purpose": "LOCATION",
"city": "Hobbs",
"state": "NM",
"postal_code": "882404337",
"country_code": "US",
"telephone_number": "505-391-0354",
"fax_number": "505-397-9977",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUMEREZ",
"first_name": "RODOLFO",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "318116",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "31816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.