Active NPI
Rafael Rodriguez, RADIOLOGY TECHNOLOGI
- Radiologic Technologist
- El Paso, TX
National Provider Identifier
1649779448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- GMR02001836
- Practice address
- 11365 Montwood Dr Ste a
El Paso, TX 79936-3867 - Phone
- (915) 250-5497
- NPI assigned
- Feb 7, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | GMR02001836 | TX | Primary |
Addresses
Primary practice location
11365 Montwood Dr Ste a
El Paso, TX 79936-3867
Mailing address
11365 Montwood Dr Ste a
El Paso, TX 79936-3867
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | ELPASO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GMR02001836 | TX | MD | Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D-Rad Mobile Imaging Services | Single Specialty | Current | Accepting new patients |
| Urgent Mobile Radiology and Lab LLC | Current | Accepting new patients | |
| DME National & Supplies | Current | Accepting new patients |
Locations
11365 Montwood Dr
Ste A
El Paso, TX 79936
Phone (915) 250-5497
Organizations & group practices 3
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.
-
- Mobile Radiology Clinic/Center
- El Paso, TX
- NPI 1861978751
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- El Paso, TX
- NPI 1578263810
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- El Paso, TX
- NPI 1932059557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1649779448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11365 MONTWOOD DR STE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799363867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11365 MONTWOOD DR STE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799363867",
"telephone_number": "915-250-5497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "RAFAEL",
"name_prefix": "Mr.",
"credential": "RADIOLOGY TECHNOLOGI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-07",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist",
"state": "TX",
"license": "GMR02001836",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "ELPASO",
"affiliation": "N",
"address_1": "11365 Montwood Dr Ste A",
"city": "El Paso",
"state": "TX",
"country_code": "US",
"postal_code": "799363867",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.