Organization Active NPI

Raymondville Memorial Health Center PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Raymondville, TX
National Provider Identifier
1912105701
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
J5271 Issued in TX
Legal business name
RAYMONDVILLE MEMORIAL HEALTH CENTER PA
Practice address
182 E Kimball Ave
Raymondville, TX 78580-2547
Phone
(956) 689-2225
Fax
(956) 689-3070
NPI assigned
Jul 3, 2007
Last updated
Mar 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Mr. George Cantu, MDNPI 1013917418
Title
Owner
Phone
(956) 689-2225

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
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X J5271 TX Primary

Addresses

Primary practice location

182 E Kimball Ave
Raymondville, TX 78580-2547

Mailing address

182 E Kimball Ave
Raymondville, TX 78580-2547
Phone (956) 689-2225

Other identifiers 1

IdentifierTypeStateIssuer
111716001MedicaidTX

National Provider Directory

National Provider Directory

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": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1912105701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 E KIMBALL AVE",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785802547",
            "telephone_number": "956-689-2225",
            "fax_number": "956-689-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 E KIMBALL AVE",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785802547",
            "telephone_number": "956-689-2225",
            "fax_number": "956-689-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMONDVILLE MEMORIAL HEALTH CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-689-2225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "J5271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111716001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymondville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.