Organization Active NPI

Wound & Ostomy Care Services of South Texas, Inc

  • Medical-Surgical Clinical Nurse Specialist
  • Edinburg, TX
National Provider Identifier
1780985390
Registry record updated Nov 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Clinical Nurse SpecialistTaxonomy code 364SM0705X
License
601952 Issued in TX
Legal business name
WOUND & OSTOMY CARE SERVICES OF SOUTH TEXAS, INC
Practice address
3519 W Alberta Rd
Edinburg, TX 78539-8466
Phone
(956) 240-2394
NPI assigned
Nov 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2021

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

Authorized official

Name
Javier Rodriguez, APRN, BC, CNS, MSNNPI 1326021874
Title
Provider
Phone
(956) 240-2394

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
Medical-Surgical Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SM0705X 601952 TX Primary

Addresses

Primary practice location

3519 W Alberta Rd
Edinburg, TX 78539-8466

Mailing address

2701 Kellie Dr
Edinburg, TX 78542-4707
Phone (956) 240-2394

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101208000805 TX Part B Supplier - Clinic/Group Practice 7911194501 Receives reassigned benefits from 1 practitioner
Practice locations: Edinburg, TX

National Provider Directory

National Provider Directory

Locations

3519 W Alberta Rd
Edinburg, TX 78539
Phone (956) 240-2394

3303 W Alberta Rd
Edinburg, TX 78539
Phone (956) 424-6163

301 W Expressway 83
#4W
McAllen, TX 78503
Phone (956) 632-4460

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637366400000",
    "number": "1780985390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 KELLIE DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785424707",
            "telephone_number": "956-240-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 W ALBERTA RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398466",
            "telephone_number": "956-240-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND & OSTOMY CARE SERVICES OF SOUTH TEXAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2021-11-20",
        "certification_date": "2021-11-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "956-240-2394",
        "authorized_official_credential": "APRN, BC, CNS, MSN"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "TX",
            "license": "601952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2021; 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.