Individual provider Active NPI

Sergio Ricardo Rodriguez Jr., FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1881908077
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP119439 Issued in TX
Practice address
740 S Alamo St
San Antonio, TX 78205-3437
Phone
(210) 256-1539
Fax
(210) 598-0206
NPI assigned
Jul 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP119439 TX Primary

Addresses

Primary practice location

740 S Alamo St
San Antonio, TX 78205-3437

Mailing address

740 S Alamo St
San Antonio, TX 78205-3437
Phone (210) 256-1539

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101102000480 TX Practitioner - Nurse Practitioner 6608060819 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Primecare, Inc CurrentSince Jun 17, 2019 Accepting new patients
El Centro del Barrio, Inc. CurrentSince Jun 14, 2023 Accepting new patients

Locations

6315 S Zarzamora St
San Antonio, TX 78211
Phone (210) 924-9254

911 Castroville Rd
San Antonio, TX 78237
Phone (210) 436-7402

3750 Commercial Ave
San Antonio, TX 78221
Phone (210) 334-3700

2961 Mossrock
San Antonio, TX 78230
Phone (210) 731-4800

615 NW Loop 410
Ste 210
San Antonio, TX 78216
Phone (210) 384-8282

Interoperability endpoints

  • Direct secure messaging: sergio.rodriguez.jr.1@18288.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1881908077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S ALAMO ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782053437",
            "telephone_number": "210-256-1539",
            "fax_number": "210-598-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S ALAMO ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782053437",
            "telephone_number": "210-256-1539",
            "fax_number": "210-598-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SERGIO",
        "middle_name": "RICARDO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-30",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP119439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.