Organization Active NPI

R. Sergio Ramirez, M.D., P.a.

  • Pediatrics Physician
  • Mission, TX
National Provider Identifier
1548569205
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
R. SERGIO RAMIREZ, M.D., P.A.
Practice address
3200 W Mile 5 Rd
Ste 3
Mission, TX 78574-6206
Phone
(956) 581-9800
Fax
(956) 581-9801
NPI assigned
Mar 21, 2011
Last updated
May 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Dr. Rogelio Sergio Ramirez, M.D.NPI 1306025150
Title
Ceo/President
Phone
(956) 585-6611

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
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

3200 W Mile 5 Rd
Ste 3
Mission, TX 78574-6206

Mailing address

210 S Bryan Rd
Ste 5a
Mission, TX 78572-6204
Phone (956) 585-6611

Other identifiers 2

IdentifierTypeStateIssuer
120273OtherTXSUPERIOR HEALTH PLAN
079605401MedicaidTX

Other names 1

  • ALTON PEDIATRIC CENTER WEST Other name

National Provider Directory

National Provider Directory
Tax ID family
Alton Pediatric Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

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": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1548569205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S BRYAN RD",
            "address_2": "STE 5A",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726204",
            "telephone_number": "956-585-6611",
            "fax_number": "956-585-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W MILE 5 RD",
            "address_2": "STE 3",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785746206",
            "telephone_number": "956-581-9800",
            "fax_number": "956-581-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. SERGIO RAMIREZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "ROGELIO",
        "authorized_official_middle_name": "SERGIO",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "956-585-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH PLAN",
            "identifier": "120273",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079605401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALTON PEDIATRIC CENTER WEST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.