Active NPI
Jorge Osvaldo Rodriguez, RVT/RVS
- Vascular Specialist/Technologist Cardiovascular
- El Paso, TX
National Provider Identifier
1942207451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Specialist/Technologist Cardiovascular
- Practice address
- 10470 Vista del Sol Dr
Ste 109
El Paso, TX 79925-7928 - Phone
- (915) 629-0522
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Vascular Specialist/Technologist Cardiovascular | 246XC2903X | Primary |
Addresses
Primary practice location
10470 Vista del Sol Dr
Ste 109
El Paso, TX 79925-7928
Mailing address
530 Sierra St
El Paso, TX 79903-5216
Phone (915) 820-4190
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088028801 | Medicaid | TX | |
| 00030011 | Other | CCI REG ID | |
| 38088 | Other | ARDMS REGISTRY # |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214870400000",
"number": "1942207451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 SIERRA ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799035216",
"telephone_number": "915-820-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10470 VISTA DEL SOL DR",
"address_2": "STE 109",
"city": "EL PASO",
"state": "TX",
"postal_code": "799257928",
"telephone_number": "915-629-0522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JORGE",
"middle_name": "OSVALDO",
"name_prefix": "Mr.",
"credential": "RVT/RVS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2008-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "246XC2903X",
"taxonomy_group": "",
"desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "088028801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCI REG ID",
"identifier": "00030011",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARDMS REGISTRY #",
"identifier": "38088",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.