Organization Active NPI

Optimum Womens Health Rio Grande Valley

  • Family Medicine Physician
  • Pharr, TX
National Provider Identifier
1699475913
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OPTIMUM WOMENS HEALTH RIO GRANDE VALLEY
Practice address
1106 W Sam Houston Blvd Ste 2
Pharr, TX 78577-5104
Phone
(956) 467-4226
Fax
(956) 467-2229
NPI assigned
Mar 6, 2023
Last updated
Jun 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Mr. Rogelio Flores, FNPNPI 1790249761
Title
Owner
Phone
(956) 467-2226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1106 W Sam Houston Blvd Ste 2
Pharr, TX 78577-5104

Mailing address

1106 W Sam Houston Blvd
Pharr, TX 78577-5104

Other identifiers 2

IdentifierTypeStateIssuer
1326524125MedicaidTX
1790249761MedicaidTX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2278014Optimum Womens Health Rio Grande Valley, PLLC1106 West Sam Houston, St 2, Pharr, TX 78577Certificate of waiverMar 8, 2027

National Provider Directory

National Provider Directory

Locations

1106 W Sam Houston Blvd
Pharr, TX 78577
Phone (956) 758-1118

1106 W Sam Houston Blvd
Ste 2
Pharr, TX 78577
Phone (956) 467-4226

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1699475913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 W SAM HOUSTON BLVD",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 W SAM HOUSTON BLVD STE 2",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775104",
            "telephone_number": "956-467-4226",
            "fax_number": "956-467-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM WOMENS HEALTH RIO GRANDE VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-06-19",
        "certification_date": "2023-05-13",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ROGELIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-467-2226",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326524125",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790249761",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pharr, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.