Active NPI
Rico Ricardo Vasquez, LAT
- Athletic Trainer
- Harlingen, TX
National Provider Identifier
1699411686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT2725
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT2725 | Other | TX | LICENSE ATHLETIC TRAINER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AT2725 | TX | MD | Athletic 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.