Active NPI
Elena Marin, MD
- Pediatrics Physician
- Harlingen, TX
National Provider Identifier
1902919475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G9923
- Practice address
- 1706 Treasure Hills Blvd
Harlingen, TX 78550-8911 - Phone
- (956) 365-6750
- Fax
- (956) 365-6779
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G9923 | TX | Primary |
Addresses
Primary practice location
1706 Treasure Hills Blvd
Harlingen, TX 78550-8911
Mailing address
1706 Treasure Hills Blvd
Harlingen, TX 78550-8911
Phone (956) 365-6750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C18784 | Other | TX | UPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G9923 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1902919475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 TREASURE HILLS BLVD",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508911",
"telephone_number": "956-365-6750",
"fax_number": "956-365-6779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 TREASURE HILLS BLVD",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508911",
"telephone_number": "956-365-6750",
"fax_number": "956-365-6779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIN",
"first_name": "ELENA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "G9923",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "C18784",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.