Organization Active NPI

Jaime Medrano MD PA

  • Pediatrics Physician
  • Weslaco, TX
National Provider Identifier
1902385453
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
JAIME MEDRANO MD PA
Practice address
415 S Airport Dr Ste E
Weslaco, TX 78596-5396
Phone
(956) 973-5024
Fax
(956) 973-5064
NPI assigned
Aug 7, 2018
Last updated
Jul 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Jaime Medrano, MDNPI 1629035423
Title
Physician
Phone
(956) 973-5024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

415 S Airport Dr Ste E
Weslaco, TX 78596-5396

Mailing address

415 S Airport Dr Ste E
Weslaco, TX 78596-5396
Phone (956) 973-5024

Other practice location 1

802 E Expressway 83 Ste A
LA Joya, TX 78560-4136
Phone (956) 585-6575

National Provider Directory

National Provider Directory

Locations

415 S Airport Dr
Ste E
Weslaco, TX 78596
Phone (956) 973-5024

Practitioners & affiliated clinicians

Practitioners 1

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": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1902385453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S AIRPORT DR STE E",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965396",
            "telephone_number": "956-973-5024",
            "fax_number": "956-973-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S AIRPORT DR STE E",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965396",
            "telephone_number": "956-973-5024",
            "fax_number": "956-973-5064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 E Expressway 83 Ste A",
            "address_purpose": "LOCATION",
            "city": "LA Joya",
            "state": "TX",
            "postal_code": "785604136",
            "country_code": "US",
            "telephone_number": "956-585-6575",
            "fax_number": "956-585-6552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAIME MEDRANO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "MEDRANO",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "956-973-5024",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.