Rainbow Pediatric Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G9139 Issued in TX

Legal business name

RAINBOW PEDIATRIC CLINIC

Practice address

902 S Airport Dr Ste 1
Weslaco, TX 78596-6649

Phone

(956) 969-2904

Fax

(956) 969-1650

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Judy L Kutugata, RN

Title

Business Manager

Phone

(956) 969-2904

Specialties & licenses 1

Addresses

Other identifiers 2

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Sandy Hernandez, PA-C

  • Physician Assistant
  • Weslaco, TX
  • NPI 1710220256
  NPD (past)
• Jorge Luis Kutugata, M.D.

  • Pediatrics Physician
  • Weslaco, TX
  • NPI 1285748996
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1689755274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S AIRPORT DR STE 1",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966649",
            "telephone_number": "956-969-2904",
            "fax_number": "956-969-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S AIRPORT DR STE 1",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966649",
            "telephone_number": "956-969-2904",
            "fax_number": "956-969-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW PEDIATRIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "KUTUGATA",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "956-969-2904",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G9139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "85M551",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAR PLUS PROGRAM",
            "identifier": "65128",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R. Chandrasekhara M.D.,P.a.
• R.G.V. Nutrition Consultants, LLC
• Rafath Quraishi, M.D., P.a.
• Veronica Rafols, PA
• Ragl Medical Investments LLC
• Jackson W Rainwater, BBA
• Pamela Ramirez Stroman, M.D.
• Alexiya Ramirez
• Kassandra Ramirez
• Naomi Ramirez, CCC-SLP

• Pediatrics Physician in Weslaco, TX
• Providers in Weslaco, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.