Organization Active NPI

Raymonville Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Raymondville, TX
National Provider Identifier
1588847107
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
L0540 Issued in TX
Legal business name
RAYMONVILLE PEDIATRICS
Practice address
910 E Hidalgo Ave
Raymondville, TX 78580-4095
Phone
(956) 689-4120
Fax
(956) 689-4142
NPI assigned
Dec 6, 2007
Last updated
Dec 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Dr. Roberto M Rey, M.D.NPI 1245344977
Title
Manager
Phone
(956) 689-4120

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
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X L0540 TX Primary

Addresses

Primary practice location

910 E Hidalgo Ave
Raymondville, TX 78580-4095

Mailing address

910 E Hidalgo Ave
Raymondville, TX 78580-4095
Phone (956) 689-4120

Other identifiers 1

IdentifierTypeStateIssuer
0048MSOtherTXBC/BS

National Provider Directory

National Provider Directory

Locations

910 E Hidalgo Ave
Raymondville, TX 78580
Phone (956) 689-4120

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": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1588847107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E HIDALGO AVE",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785804095",
            "telephone_number": "956-689-4120",
            "fax_number": "956-689-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E HIDALGO AVE",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785804095",
            "telephone_number": "956-689-4120",
            "fax_number": "956-689-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMONVILLE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "REY",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "956-689-4120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "L0540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0048MS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymondville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.