Individual provider Active NPI

Edgar Armando Rodriguez, M.D.

  • Obstetrics & Gynecology Physician
  • San Juan, TX
National Provider Identifier
1952500993
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M6855 Issued in TX
Practice address
1211 N Raul Longoria Rd
Suite C
San Juan, TX 78589-3713
Phone
(956) 782-7878
NPI assigned
Jul 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M6855 TX Primary

Addresses

Primary practice location

1211 N Raul Longoria Rd
Suite C
San Juan, TX 78589-3713

Mailing address

1211 N Raul Longoria Rd
Suite C
San Juan, TX 78589-3713
Phone (956) 782-7878

Other identifiers 1

IdentifierTypeStateIssuer
201996001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111205000863 TX Practitioner - Obstetrics/Gynecology 8527233477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at San Antonio, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1211 N Raul Longoria Rd
Suite C
San Juan, TX 78589-3714
Phone (956) 782-7878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Edgar a Rodriguez MD PA Obstetrics & Gynecology CurrentSince May 1, 2025 Accepting new patients
Doctors Hospital at Renaissance, LTD Past Accepting new patients
Columbia Rio Grande Healthcare, L.P. Past Accepting new patients
Mission Hospital, Inc. Past Accepting new patients

Locations

1211 N Raul Longoria Rd
Ste C
San Juan, TX 78589
Phone (956) 782-4002

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3fe59471-3589-4f65-b447-b92822bfc057/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1952500993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N RAUL LONGORIA RD",
            "address_2": "SUITE C",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893713",
            "telephone_number": "956-782-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N RAUL LONGORIA RD",
            "address_2": "SUITE C",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893713",
            "telephone_number": "956-782-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "EDGAR",
        "middle_name": "ARMANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M6855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201996001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

Verify at the official NPI Registry.