Organization Active NPI

Rodolfo Longoria MD, PA

  • Internal Medicine Physician
  • Brownsville, TX
National Provider Identifier
1518513985
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RODOLFO LONGORIA MD, PA
Practice address
302 Lorenaly Dr Ste G
Brownsville, TX 78526-4332
Phone
(956) 525-7310
Fax
(956) 525-7258
NPI assigned
Aug 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Rodolfo Longoria, MDNPI 1720398951
Title
Director
Phone
(956) 525-7310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

302 Lorenaly Dr Ste G
Brownsville, TX 78526-4332

Mailing address

137 Creekbend Dr
Brownsville, TX 78521-4325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191122000417 TX Part B Supplier - Clinic/Group Practice 3779915178 Receives reassigned benefits from 3 practitioners
Practice locations: Brownsville, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1518513985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 CREEKBEND DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 LORENALY DR STE G",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264332",
            "telephone_number": "956-525-7310",
            "fax_number": "956-525-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODOLFO LONGORIA MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "LONGORIA",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "956-525-7310",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.