Organization Active NPI

Maria Elena Rodriguez, M.D. P.a.

  • Obstetrics & Gynecology Physician
  • Edinburg, TX
National Provider Identifier
1871776633
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L3457 Issued in TX
Legal business name
MARIA ELENA RODRIGUEZ, M.D. P.A.
Practice address
3220 S Jackson Rd
Edinburg, TX 78539-6666
Phone
(956) 380-1833
Fax
(956) 380-6929
NPI assigned
Dec 14, 2007
Last updated
Oct 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Dr. Maria Elena Rodriguez, M.D.
Title
Owner
Phone
(956) 380-1833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L3457 TX Primary

Addresses

Primary practice location

3220 S Jackson Rd
Edinburg, TX 78539-6666

Mailing address

PO Box 2429
Edinburg, TX 78540-2429
Phone (956) 380-1833

Other identifiers 1

IdentifierTypeStateIssuer
170892701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060302000644 TX Part B Supplier - Clinic/Group Practice 5092721860 Receives reassigned benefits from 3 practitioners
Practice locations: Edinburg, TX

National Provider Directory

National Provider Directory

Locations

3220 S Jackson Rd
Edinburg, TX 78539
Phone (956) 380-1833

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1871776633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2429",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785402429",
            "telephone_number": "956-380-1833",
            "fax_number": "956-380-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396666",
            "telephone_number": "956-380-1833",
            "fax_number": "956-380-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA ELENA RODRIGUEZ, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-380-1833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L3457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170892701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.