Individual provider Active NPI

Mauricio Xavier Rodriguez, PA

  • Medical Physician Assistant
  • Brownsville, TX
National Provider Identifier
1699308676
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA12022 Issued in TX
Practice address
3125 W Alton Gloor Blvd
Brownsville, TX 78520-3506
Phone
(956) 544-5700
Fax
(956) 350-9573
NPI assigned
Feb 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA12022 TX Primary

Addresses

Primary practice location

3125 W Alton Gloor Blvd
Brownsville, TX 78520-3506

Mailing address

3125 W Alton Gloor Blvd
Brownsville, TX 78520-3506
Phone (956) 544-5700

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251103001280 TX Practitioner - Physician Assistant 7810486487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 Market Plaza Way
Mechanicsburg, PA 17055-5679

3125 W Alton Gloor Blvd
Brownsville, TX 78520-3506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA12022TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ricardo a Abraham Mdpa Internal Medicine CurrentSince Feb 23, 2020 Accepting new patients
Juan Diego Gonzalez MD PA Internal Medicine CurrentSince Sep 22, 2025 Accepting new patients

Locations

3125 W Alton Gloor Blvd
Brownsville, TX 78520
Phone (956) 544-5700

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.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1699308676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 W ALTON GLOOR BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785203506",
            "telephone_number": "956-544-5700",
            "fax_number": "956-350-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 W ALTON GLOOR BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785203506",
            "telephone_number": "956-544-5700",
            "fax_number": "956-350-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MAURICIO",
        "middle_name": "XAVIER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-18",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA12022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.