Organization Active NPI

Rio Vista Medical Center PLLC

  • Family Medicine Physician
  • Del Rio, TX
National Provider Identifier
1689718884
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RIO VISTA MEDICAL CENTER PLLC
Practice address
2209 N Bedell Ave
Del Rio, TX 78840-8007
Phone
(830) 775-8513
Fax
(830) 774-1430
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Daniel J Chartrand, M.D.
Title
Owner
Phone
(830) 775-8513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2209 N Bedell Ave
Del Rio, TX 78840-8007

Mailing address

2209 N Bedell Ave
Del Rio, TX 78840-8007
Phone (830) 775-8513

National Provider Directory

National Provider Directory

Locations

2116 Veterans Blvd
#6
Del Rio, TX 78840
Phone (830) 775-8513

Practitioners & affiliated clinicians

Practitioners 1

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": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1689718884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 N BEDELL AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788408007",
            "telephone_number": "830-775-8513",
            "fax_number": "830-774-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 N BEDELL AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788408007",
            "telephone_number": "830-775-8513",
            "fax_number": "830-774-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO VISTA MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "CHARTRAND",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-775-8513",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.