Active NPI
Carlos E Rodriguez MD PA
- Ophthalmology Physician
- Eagle Pass, TX
National Provider Identifier
1750406732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- F7109
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87830G | Other | TX | BLUE CROSS |
| 079788801 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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
- Calgary Health Care Group
- Camino Real Ambulance Inc.
- Claudia L Cardenas
- Cardio Pulmonary Therapeutics and Diagnostics Inc (CPTD)
- Care Home DME LLC
- Carlos E. de la Pena, D.D.S., P.C. (Family Dental Care)
- Carlos Hernandez, M.D., P.a. (Southwestern Women's Clinic)
- Leticia Carreon
- Vanessa Carrillo, PHARMD
- Maribel Galindo Castillo
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.