Individual provider Active NPI

Daniella Rodriguez-Rico, M.D.

  • Pediatrics Physician
  • Edinburg, TX
National Provider Identifier
1871706614
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N4708 Issued in TX
Practice address
4716 S Jackson Rd
Edinburg, TX 78539-6199
Phone
(956) 299-2222
Fax
(956) 378-9974
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N4708 TX Primary

Addresses

Primary practice location

4716 S Jackson Rd
Edinburg, TX 78539-6199

Mailing address

4716 S Jackson Rd
Edinburg, TX 78539-6199
Phone (956) 299-2222

Other identifiers 2

IdentifierTypeStateIssuer
393571002MedicaidTX
393571001MedicaidTX

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
I20091023000689 TX Practitioner - Pediatric Medicine 1759428782 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N4708TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daniella Rodriguez-Rico M.D. PA Pediatrics CurrentSince Sep 1, 2021 Accepting new patients
Doctors Hospital at Renaissance, LTD Past Accepting new patients

Locations

4716 S Jackson Rd
Edinburg, TX 78539
Phone (956) 299-2222

1900 S Jackson Rd
Ste 12
McAllen, TX 78503
Phone (956) 277-2222

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3fe59471-3589-4f65-b447-b92822bfc057/

Organizations & group practices 3

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1871706614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396199",
            "telephone_number": "956-299-2222",
            "fax_number": "956-378-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396199",
            "telephone_number": "956-299-2222",
            "fax_number": "956-378-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-RICO",
        "first_name": "DANIELLA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N4708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393571002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393571001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.