Organization Active NPI

Carlos E Rodriguez MD PA

  • Ophthalmology Physician
  • Eagle Pass, TX
National Provider Identifier
1750406732
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
F7109 Issued in TX
Legal business name
CARLOS E RODRIGUEZ MD PA
Practice address
708 S Bibb Ave
Eagle Pass, TX 78852-5069
Phone
(830) 773-7339
Fax
(830) 773-4618
NPI assigned
Mar 20, 2007
Last updated
Mar 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Dr. Carlos E Rodriguez, MD
Title
Ceo
Phone
(830) 773-7339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X F7109 TX Primary

Addresses

Primary practice location

708 S Bibb Ave
Eagle Pass, TX 78852-5069

Mailing address

708 S Bibb Ave
Eagle Pass, TX 78852-5069
Phone (830) 773-7339

Other identifiers 2

IdentifierTypeStateIssuer
87830GOtherTXBLUE CROSS
079788801MedicaidTX

National Provider Directory

National Provider Directory

Locations

2076 N Veterans Blvd
Ste E
Eagle Pass, TX 78852
Phone (830) 773-7339

708 S Bibb Ave
Eagle Pass, TX 78852
Phone (830) 294-8020

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1750406732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S BIBB AVE",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525069",
            "telephone_number": "830-773-7339",
            "fax_number": "830-773-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S BIBB AVE",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525069",
            "telephone_number": "830-773-7339",
            "fax_number": "830-773-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS E RODRIGUEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "830-773-7339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "F7109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "87830G",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079788801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.