Individual provider Active NPI

Rico Ricardo Vasquez, LAT

  • Athletic Trainer
  • Harlingen, TX
National Provider Identifier
1699411686
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT2725 Issued in TX
Practice address
320 Iwo Jima Blvd
Harlingen, TX 78550-3627
Phone
(956) 376-6815
NPI assigned
May 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193400000X SINGLE SPECIALTY GROUP 2255A2300X AT2725 TX Primary

Addresses

Primary practice location

320 Iwo Jima Blvd
Harlingen, TX 78550-3627

Mailing address

320 Iwo Jima Blvd
Harlingen, TX 78550-3627
Phone (956) 376-6815

Other identifiers 1

IdentifierTypeStateIssuer
AT2725OtherTXLICENSE ATHLETIC TRAINER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vasquez@mma-tx.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AT2725TXMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1699411686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 IWO JIMA BLVD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503627",
            "telephone_number": "956-376-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 IWO JIMA BLVD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503627",
            "telephone_number": "956-376-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "RICO",
        "middle_name": "RICARDO",
        "name_prefix": "Mr.",
        "credential": "LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT2725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE ATHLETIC TRAINER",
            "identifier": "AT2725",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vasquez@mma-tx.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "320 Iwo Jima Blvd",
            "city": "Harlingen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785503627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.