Individual provider Active NPI

Juan Ed Torres-Reveron, M.D./ PH.D.

  • Neurological Surgery Physician
  • Edinburg, TX
National Provider Identifier
1689858706
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
U8251 Issued in TX
Practice address
5519 Doctors Dr
Edinburg, TX 78539-5563
Phone
(956) 362-8500
Fax
(956) 362-8505
NPI assigned
Dec 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X U8251 TX Primary

Addresses

Primary practice location

5519 Doctors Dr
Edinburg, TX 78539-5563

Mailing address

PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240119004081 TX Practitioner - Neurosurgery 0648586172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Baylor College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians

Practice addresses (Care Compare)

5519 Doctors Dr
Edinburg, TX 78539-5563
Phone (956) 362-8500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion20
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
U8251TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Medical Foundation CurrentSince Feb 1, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

5519 Doctors Dr
Edinburg, TX 78539
Phone (956) 362-2421

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

Interoperability endpoints

  • Direct secure messaging: jtorresreveron208497@direct.uchealth.com
  • Direct secure messaging: jtorresreveron129982@stormontvaildirect.org

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1689858706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771614",
            "telephone_number": "956-362-8500",
            "fax_number": "956-362-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5519 DOCTORS DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395563",
            "telephone_number": "956-362-8500",
            "fax_number": "956-362-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES-REVERON",
        "first_name": "JUAN",
        "middle_name": "ED",
        "name_prefix": "Dr.",
        "credential": "M.D./ PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "U8251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.