Individual provider Active NPI

Eulalio Rodriguez III, PA-C

  • Physician Assistant
  • Edinburg, TX
National Provider Identifier
1649736281
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12661 Issued in TX
Practice address
502 S Closner Blvd
Edinburg, TX 78539-4660
Phone
(956) 292-0100
Fax
(956) 292-2613
NPI assigned
Feb 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12661 TX Primary

Addresses

Primary practice location

502 S Closner Blvd
Edinburg, TX 78539-4660

Mailing address

502 S Closner Blvd
Edinburg, TX 78539-4660
Phone (956) 292-0100

Other practice location 1

1601 E Alton Gloor Blvd Ste 109
Brownsville, TX 78526-3972
Phone (956) 550-9669

Other practice location 2

1920 E Griffin Pkwy
Mission, TX 78572-3106
Phone (956) 584-3353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210817002825 TX Practitioner - Physician Assistant 0143625962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monzer H Yazji MD and Associates PLLCGroup PAC ID 2062470529, 83 clinicians

Practice addresses (Care Compare)

502 S Closner Blvd
Edinburg, TX 78539-4660
Phone (956) 292-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Monzer H Yazji MD & Associates PLLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

1601 E Alton Gloor Blvd
Ste 109
Brownsville, TX 78526
Phone (956) 550-9669

502 S Closner Blvd
Edinburg, TX 78539
Phone (956) 292-0100

5505 S Expressway 77
Ste 304
Harlingen, TX 78550
Phone (813) 931-0000

5201 N 10th St
McAllen, TX 78504
Phone (956) 631-5411

1200 E Savannah Ave
Ste 19
McAllen, TX 78503
Phone (956) 928-1909

1920 E Griffin Pkwy
Mission, TX 78572
Phone (956) 584-3353

351 N Sam Houston Blvd
San Benito, TX 78586
Phone (956) 247-7000

Interoperability endpoints

  • Direct secure messaging: eulalio.rodriguez.1@33464.direct.athenahealth.com
  • Direct secure messaging: eulalio.rodriguez@415054778073092.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1649736281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394660",
            "telephone_number": "956-292-0100",
            "fax_number": "956-292-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394660",
            "telephone_number": "956-292-0100",
            "fax_number": "956-292-2613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 E Alton Gloor Blvd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785263972",
            "country_code": "US",
            "telephone_number": "956-550-9669",
            "fax_number": "956-550-9968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1920 E Griffin Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785723106",
            "country_code": "US",
            "telephone_number": "956-584-3353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "EULALIO",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-19",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.