Organization Active NPI

Adult & Pediatric Medicine by Sandubs

  • Family Medicine Physician
  • Rio Grande City, TX
National Provider Identifier
1720802846
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADULT & PEDIATRIC MEDICINE BY SANDUBS
Practice address
1627 E US Highway 83
Rio Grande City, TX 78582-4600
Phone
(956) 716-1665
NPI assigned
Nov 14, 2024
Last updated
Nov 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Mrs. Lynlee Dublado, F.N.P.NPI 1356860894
Title
Nurse Practitioner
Phone
(956) 624-7208

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1627 E US Highway 83
Rio Grande City, TX 78582-4600

Mailing address

1627 E US Highway 83
Rio Grande City, TX 78582-4600
Phone (956) 716-1665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250214003427 TX Part B Supplier - Clinic/Group Practice 1850821182 Receives reassigned benefits from 3 practitioners
Practice locations: Rio Grande City, TX

National Provider Directory

National Provider Directory

Locations

1627 E Main St
Rio Grande City, TX 78582
Phone (956) 716-1665

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": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1720802846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 E US HIGHWAY 83",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785824600",
            "telephone_number": "956-716-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 E US HIGHWAY 83",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785824600",
            "telephone_number": "956-716-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT & PEDIATRIC MEDICINE BY SANDUBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "DUBLADO",
        "authorized_official_first_name": "LYNLEE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "956-624-7208",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "F.N.P."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.