Individual provider Active NPI

Guillermo D. Marquez, M.D.

  • Surgery Physician
  • Mission, TX
National Provider Identifier
1861454563
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
K1544 Issued in TX
Practice address
910 S Bryan Rd
Ste 202
Mission, TX 78572-6659
Phone
(956) 682-6126
Fax
(956) 580-0464
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X K1544 TX Primary

Addresses

Primary practice location

910 S Bryan Rd
Ste 202
Mission, TX 78572-6659

Mailing address

910 S Bryan Rd
Ste 202
Mission, TX 78572-6659
Phone (956) 682-6126

Other identifiers 1

IdentifierTypeStateIssuer
030586401MedicaidTX

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
I20100817001184 TX Practitioner - General Surgery 1850425570 Reassigns benefits to 1 organization
Practice locations: Mission, TX

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RGV Surgical Associates, PLLC 2 clinicians

Practice addresses (Care Compare)

910 S Bryan Rd
Suite 202
Mission, TX 78572-6659
Phone (956) 682-6126

Hospital & facility affiliations

  • Mission Regional Medical Center Hospital, Mission, TX, CCN 450176
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1544TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RGV Surgical Associates, PLLC Surgery CurrentSince Feb 4, 2020 Accepting new patients
DRS. Rodriguez,Alleyn & Marquez PLLC Surgery Past Accepting new patients

Locations

910 S Bryan Rd
Ste 202
Mission, TX 78572
Phone (956) 584-2244

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1861454563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S BRYAN RD",
            "address_2": "STE 202",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726659",
            "telephone_number": "956-682-6126",
            "fax_number": "956-580-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S BRYAN RD",
            "address_2": "STE 202",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726659",
            "telephone_number": "956-682-6126",
            "fax_number": "956-580-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "GUILLERMO",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "K1544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030586401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.