Individual provider Active NPI

Rolando Longoria, PA-C

  • Physician Assistant
  • Harlingen, TX
National Provider Identifier
1740588722
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02612 Issued in TX
Practice address
802 S Loop 499
Ste 4
Harlingen, TX 78550-2519
Phone
(956) 425-4386
Fax
(956) 364-2103
NPI assigned
Mar 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA02612 TX Primary

Addresses

Primary practice location

802 S Loop 499
Ste 4
Harlingen, TX 78550-2519

Mailing address

802 S Loop 499
Ste 4
Harlingen, TX 78550-2519
Phone (956) 425-4386

Other identifiers 2

IdentifierTypeStateIssuer
341357702MedicaidTX
468868YLPSOtherTXWELLMED PTAN

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
I20110907000823 TX Practitioner - Physician Assistant 3274703905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jaime S Gomez MdpaGroup PAC ID 9739212333, 4 clinicians

Practice addresses (Care Compare)

100 E Alton Gloor Blvd
Suite 100a
Brownsville, TX 78526-3354
Phone (956) 350-7000

5700 N
83 Suite 303
Brownsville, TX 78526-4355
Phone (956) 504-7121

National Provider Directory

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

Organizations & group practices 1

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": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1740588722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 S LOOP 499",
            "address_2": "STE 4",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785502519",
            "telephone_number": "956-425-4386",
            "fax_number": "956-364-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 S LOOP 499",
            "address_2": "STE 4",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785502519",
            "telephone_number": "956-425-4386",
            "fax_number": "956-364-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGORIA",
        "first_name": "ROLANDO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-01",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341357702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED PTAN",
            "identifier": "468868YLPS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.