Organization Active NPI

Joel a Rodriguez MD PLLC

Doing business as RioSurgical Specialists of Texas

  • Surgery Physician
  • San Antonio, TX
National Provider Identifier
1881009025
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N6622 Issued in TX
Legal business name
JOEL A RODRIGUEZ MD PLLC
Doing business as
RioSurgical Specialists of Texas
Practice address
3103 SE Military Dr
Suite 105
San Antonio, TX 78223-3801
Phone
(210) 359-0051
Fax
(888) 290-1413
NPI assigned
Jun 26, 2014
Last updated
Nov 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Joel A Rodriguez, MDNPI 1730487794
Title
MD/Owner
Phone
(210) 359-0051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X N6622 TX Primary

Addresses

Primary practice location

3103 SE Military Dr
Suite 105
San Antonio, TX 78223-3801

Mailing address

PO Box 791413
San Antonio, TX 78279-1413
Phone (210) 359-0051

Other names 1

  • RioSurgical Specialists of Texas Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150105000353 TX Part B Supplier - Clinic/Group Practice 2668795311 Receives reassigned benefits from 4 practitioners
Practice locations: San Antonio, TX; Schertz, TX

National Provider Directory

National Provider Directory

Locations

1303 McCullough Ave
Ste 138
San Antonio, TX 78212
Phone (210) 225-3330

3401 Roy Richard Dr
Schertz, TX 78154
Phone (210) 675-6724

3701 Roy Richard Dr
Schertz, TX 78154
Phone (210) 359-0051

Practitioners & affiliated clinicians

Practitioners 11

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": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1881009025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791413",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782791413",
            "telephone_number": "210-359-0051",
            "fax_number": "888-290-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 SE MILITARY DR",
            "address_2": "SUITE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233801",
            "telephone_number": "210-359-0051",
            "fax_number": "888-290-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL A RODRIGUEZ MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "210-359-0051",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N6622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RioSurgical Specialists of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.