Active NPI
Jorge a. Patino Mdpa
- Pediatrics Physician
- Brownsville, TX
National Provider Identifier
1891949087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K6684
- Legal business name
- JORGE A. PATINO MDPA
- Practice address
- 5460 Paredes Line Rd
Ste 198
Brownsville, TX 78526-9740 - Phone
- (956) 542-3200
- Fax
- (956) 504-6733
- NPI assigned
- Nov 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jorge Patino, M.D.
- Title
- Owner
- Phone
- (956) 542-3200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K6684 | TX | Primary |
Addresses
Primary practice location
5460 Paredes Line Rd
Ste 198
Brownsville, TX 78526-9740
Mailing address
5460 Paredes Line Rd
Ste 198
Brownsville, TX 78526-9740
Phone (956) 542-3200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092281703 | Medicaid | TX | |
| 092281705 | Medicaid | TX | |
| 195269903 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Jorge a Patino MD PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Brownsville, TX
- NPI 1497714281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236124800000",
"number": "1891949087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5460 PAREDES LINE RD",
"address_2": "STE 198",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785269740",
"telephone_number": "956-542-3200",
"fax_number": "956-504-6733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5460 PAREDES LINE RD",
"address_2": "STE 198",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785269740",
"telephone_number": "956-542-3200",
"fax_number": "956-504-6733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JORGE A. PATINO MDPA",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-14",
"last_updated": "2009-03-04",
"status": "A",
"authorized_official_last_name": "PATINO",
"authorized_official_first_name": "JORGE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "956-542-3200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "TX",
"license": "K6684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092281703",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092281705",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "195269903",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brownsville, TX
- Michelle H. John, O.T.R.
- Johnny Flores. M.a., P.C.
- Gregory Johnson, MD
- Jacob Nathaniel Jolley
- Jorge a. Patino MD, PA
- Jorge E. Dominguez MD PA (Brownsville Pediatric & Adolescent Care)
- Jorge Flores MD PA
- Jose G. Henao, DPM PLLC
- Jose G. Sosa FNP PC (Alton Gloor Urgent Care & Occupational Medicine)
- Jose L. Villalobos, Jr. , MD, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.