Active NPI
Dulce Elena Pedraza
- Occupational Therapy Assistant
- Brownsville, TX
National Provider Identifier
1669958229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 212863
- Practice address
- 620 Paredes Line Rd Ste E
Brownsville, TX 78521-3694 - Phone
- (956) 621-0277
- Fax
- (956) 621-0427
- NPI assigned
- Jul 17, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 212863 | TX | Primary |
Addresses
Primary practice location
620 Paredes Line Rd Ste E
Brownsville, TX 78521-3694
Mailing address
620 Paredes Line Rd Ste E
Brownsville, TX 78521-3694
Phone (956) 621-0277
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 |
|---|---|---|---|
| 212863 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1669958229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 PAREDES LINE RD STE E",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785213694",
"telephone_number": "956-621-0277",
"fax_number": "956-621-0427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 PAREDES LINE RD STE E",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785213694",
"telephone_number": "956-621-0277",
"fax_number": "956-621-0427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDRAZA",
"first_name": "DULCE",
"middle_name": "ELENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-17",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "212863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.