Organization Active NPI

Ronaldo D Factoriza,.M.D.P.a.

  • Internal Medicine Physician
  • Brownsville, TX
National Provider Identifier
1679876924
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K5923 Issued in TX
Legal business name
RONALDO D FACTORIZA,.M.D.P.A.
Practice address
680 Paredes Line Rd
Brownsville, TX 78521-2482
Phone
(956) 541-9499
Fax
(956) 541-1321
NPI assigned
Dec 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Dr. Ronaldo Dictado Factoriza, M.D. P.A.NPI 1285607275
Title
Physician
Phone
(956) 541-9499

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X K5923 TX Primary

Addresses

Primary practice location

680 Paredes Line Rd
Brownsville, TX 78521-2482

Mailing address

PO Box 3638
Brownsville, TX 78523-3638
Phone (956) 541-9499

Other identifiers 1

IdentifierTypeStateIssuer
046636903MedicaidTX

Other names 1

  • St Anthony Family Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101227000062 TX Part B Supplier - Clinic/Group Practice 7113115700 Receives reassigned benefits from 2 practitioners
Practice locations: Brownsville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0990052St Anthony Family Clinic680 Paredes Line Road, Brownsville, TX 78521ComplianceFeb 13, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1679876924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3638",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785233638",
            "telephone_number": "956-541-9499",
            "fax_number": "956-541-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 PAREDES LINE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212482",
            "telephone_number": "956-541-9499",
            "fax_number": "956-541-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALDO D FACTORIZA,.M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "FACTORIZA",
        "authorized_official_first_name": "RONALDO",
        "authorized_official_middle_name": "DICTADO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "956-541-9499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. P.A."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K5923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046636903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Anthony Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.