Jaime Medrano MD PA

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

Organization subpart

No

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

Authorized official

Name

Jaime Medrano, MD

Title

Physician

Phone

(956) 973-5024

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629035423",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03-7773102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PHYSICIAN PERMIT",
            "identifier": "K1873",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Weslaco, TX
• Providers in Weslaco, TX by specialty
• Pediatrics Physician in Texas

• 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.