Medical Infectious Disease Consulting Service

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

E7377 Issued in TX

Legal business name

MEDICAL INFECTIOUS DISEASE CONSULTING SERVICE

Practice address

18951 N Memorial
Humble, TX 77338-4217

Phone

(281) 540-7700

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Ricardo Bolivar, MDNPI 1053413278

Title

President

Phone

(281) 893-4376

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricardo Bolivar, M.D.

  • Infectious Disease Physician
  • Humble, TX
  • NPI 1053413278
  NPD (past) Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770677130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131224",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77393",
            "telephone_number": "281-893-4376",
            "fax_number": "281-419-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18951 N MEMORIAL",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384217",
            "telephone_number": "281-540-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL INFECTIOUS DISEASE CONSULTING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLIVAR",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-893-4376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "E7377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Earl McMurrey, D.C.
• Patricia E. McPherson, RMT; MAR; ITEC; GIHT
• MD Endododontics
• Med Southwest, PLLC
• Medcorp EMS PLLC
• Miguel A Medina Ventura, RN
• Frank Medina
• Manuela Medina
• Maria M Medina
• Matthew Gabriel Medina

• Infectious Disease Physician in Humble, TX
• Providers in Humble, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.