NPIMap

Organization Active NPI

Sun & Surf Medical Clinic, P.C.

  • Clinic/Center
  • Corpus Christi, TX
National Provider Identifier
1528303153
Registry record updated Mar 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
677578 Issued in TX
Legal business name
SUN & SURF MEDICAL CLINIC, P.C.
Practice address
14254 S Padre Island Dr Ste 207
Corpus Christi, TX 78418-6278
Phone
(361) 537-3605
NPI assigned
Dec 8, 2012
Last updated
Mar 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2013

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

Authorized official

Name
Mr. Rudolfo C. Deleon, NPNPI 1881821692
Title
President/Co-Owner
Phone
(361) 537-3605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 677578 TX Primary

Addresses

Primary practice location

14254 S Padre Island Dr Ste 207
Corpus Christi, TX 78418-6278

Mailing address

PO Box 271018
Corpus Christi, TX 78427-1018

National Provider Directory

National Provider Directory

Locations

14254 Spid Dr
Ste 207
Corpus Christi, TX 78418
Phone (361) 537-3605

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1354924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364083200000",
    "number": "1528303153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271018",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784271018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14254 S PADRE ISLAND DR STE 207",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186278",
            "telephone_number": "361-537-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN & SURF MEDICAL CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-08",
        "last_updated": "2013-03-24",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "RUDOLFO",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT/CO-OWNER",
        "authorized_official_telephone_number": "361-537-3605",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "677578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.