Active NPI
Jorge A. Patino, M.D., P.A.
- Pediatrics Physician
- Brownsville, TX
National Provider Identifier
1831158427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K6684
- Practice address
- 5460 Paredes Line Rd
Suite 198
Brownsville, TX 78526-9740 - Phone
- (956) 542-3200
- Fax
- (956) 504-6733
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K6684 | TX | Primary |
Addresses
Primary practice location
5460 Paredes Line Rd
Suite 198
Brownsville, TX 78526-9740
Mailing address
5460 Paredes Line Rd
Suite 198
Brownsville, TX 78526-9740
Phone (956) 542-3200
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092281703 | Medicaid | TX | |
| 092281705 | Medicaid | TX | |
| 092281704 | Medicaid | TX | |
| 092281708 | Medicaid | TX | |
| 092281707 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K6684 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236124800000",
"number": "1831158427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5460 PAREDES LINE RD",
"address_2": "SUITE 198",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785269740",
"telephone_number": "956-542-3200",
"fax_number": "956-504-6733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5460 PAREDES LINE RD",
"address_2": "SUITE 198",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785269740",
"telephone_number": "956-542-3200",
"fax_number": "956-504-6733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATINO",
"first_name": "JORGE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D., P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2009-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K6684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092281703",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092281705",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092281704",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092281708",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092281707",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.