Individual provider Active NPI

Gustavo Enrique Fors Rodriguez, MD

  • Psychiatry Physician
  • Edinburg, TX
National Provider Identifier
1821355348
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R8891 Issued in TX
Practice address
1901 S 24TH Ave
Edinburg, TX 78539
Phone
(956) 289-7000
NPI assigned
Apr 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 19358 PR
Psychiatry Physician 2084P0800X R8891 TX Primary

Addresses

Primary practice location

1901 S 24TH Ave
Edinburg, TX 78539

Mailing address

1901 S 24TH Ave
Edinburg, TX 78539-6533

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181002001899 TX Practitioner - Psychiatry 6901158997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Puerto Rico School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tropical Texas Behavioral Health.Group PAC ID 6608864715, 38 clinicians

Practice addresses (Care Compare)

1901 S 24TH Ave
Edinburg, TX 78539-6533
Phone (956) 289-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19358PRMDPsychiatry Physician
R8891TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tropical Texas Behavioral Health Psychiatry CurrentSince Sep 7, 2018 Accepting new patients
Tropical Texas Behavioral Health CurrentSince Sep 7, 2018 Accepting new patients

Locations

1901 S 24th Ave
Edinburg, TX 78539
Phone (956) 289-7025

Organizations & group practices 2

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": "1335052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1821355348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S 24TH AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S 24TH AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-289-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORS RODRIGUEZ",
        "first_name": "GUSTAVO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-22",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "19358",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R8891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.