Organization Active NPI

Rodolfo J. Walss MD

  • Specialist
  • Brownsville, TX
National Provider Identifier
1831493956
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J1423 Issued in TX
Legal business name
RODOLFO J. WALSS MD
Practice address
4770 N Expressway
Ste 205
Brownsville, TX 78526-4165
Phone
(956) 350-0838
Fax
(956) 350-2141
NPI assigned
Jan 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Miss Cynthia A Ibarra
Title
Office Manager
Phone
(956) 350-0838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X J1423 TX Primary

Addresses

Primary practice location

4770 N Expressway
Ste 205
Brownsville, TX 78526-4165

Mailing address

4770 N Expressway
Ste 205
Brownsville, TX 78526-4165
Phone (956) 350-0838

Other identifiers 3

IdentifierTypeStateIssuer
1184683104OtherTXNPI
1497992184OtherTXNPI
132572207MedicaidTX

Other names 1

  • RODOLFO J. WALSS MD Former legal business name

National Provider Directory

National Provider Directory

Locations

4770 N Expressway
Ste 205
Brownsville, TX 78526
Phone (956) 350-0838

Practitioners & affiliated clinicians

Practitioners 3

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": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1831493956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 N EXPRESSWAY",
            "address_2": "STE 205",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264165",
            "telephone_number": "956-350-0838",
            "fax_number": "956-350-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 N EXPRESSWAY",
            "address_2": "STE 205",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264165",
            "telephone_number": "956-350-0838",
            "fax_number": "956-350-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODOLFO J. WALSS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "IBARRA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-350-0838",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J1423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184683104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497992184",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132572207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RODOLFO J. WALSS MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 4, 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.

Verify at the official NPI Registry.