Active NPI
Raymondville Memorial Health Center PA
- Geriatric Medicine (Internal Medicine) Physician
- Raymondville, TX
National Provider Identifier
1912105701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- J5271
- 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, 2012
- 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
- Mr. George Cantu, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111716001 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Raymondville, TX
- NPI 1013917418
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
- Raymondville Family Dentistry
- Raymondville Family Pharmacy LLP
- Raymondville Family Pharmacy LLP
- Raymondville Isd
- Raymondville Isd Health Clinic
- Raymonville Pediatrics
- Regional Health Concepts Incorporated (Regional Health Concepts)
- Roberto Mauro Rey, M.D.
- Alyssa Marie Reyes, LPC-A
- Ileana Aide Rivera, OTR
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.