NPIMap

Organization Active NPI

MD Profit Associates, Inc.

  • Contractor
  • Pearland, TX
National Provider Identifier
1942586151
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
MD PROFIT ASSOCIATES, INC.
Practice address
11233 Shadow Creek Pkwy
Suite 127
Pearland, TX 77584-7345
Phone
(713) 931-6090
NPI assigned
Nov 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Santiago Rivera
Title
Ceo
Phone
(713) 931-6090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

11233 Shadow Creek Pkwy
Suite 127
Pearland, TX 77584-7345

Mailing address

11233 Shadow Creek Pkwy
Suite 127
Pearland, TX 77584-7345
Phone (713) 931-6090

National Provider Directory

National Provider Directory

Locations

11233 Shadow Creek Pkwy
Ste 127
Pearland, TX 77584
Phone (713) 931-6090

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1942586151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11233 SHADOW CREEK PKWY",
            "address_2": "SUITE 127",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847345",
            "telephone_number": "713-931-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11233 SHADOW CREEK PKWY",
            "address_2": "SUITE 127",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847345",
            "telephone_number": "713-931-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD PROFIT ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-931-6090"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.