Organization Active NPI

Rafael J Deliz MD PA

  • Pulmonary Disease Physician
  • Laredo, TX
National Provider Identifier
1952533770
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
N2057 Issued in TX
Legal business name
RAFAEL J DELIZ MD PA
Practice address
9114 MC Pherson Rd
Ste 2509
Laredo, TX 78045-6511
Phone
(956) 795-1887
Fax
(956) 795-1476
NPI assigned
Aug 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Dr. Rafael J Deliz, M.D.NPI 1316051618
Title
Owner
Phone
(956) 220-4597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X N2057 TX Primary

Addresses

Primary practice location

9114 MC Pherson Rd
Ste 2509
Laredo, TX 78045-6511

Mailing address

9114 McPherson Rd
Ste 2509
Laredo, TX 78045-6511
Phone (956) 795-1887

Other identifiers 1

IdentifierTypeStateIssuer
11136884OtherTXCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090831000181 TX Part B Supplier - Clinic/Group Practice 4981759750 Receives reassigned benefits from 1 practitioner
Practice locations: Laredo, TX

National Provider Directory

National Provider Directory

Locations

10700 McPherson Rd
Ste 202
Laredo, TX 78045

9114 McPherson Rd
Ste 2509
Laredo, TX 78045
Phone (956) 795-1887

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1952533770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 MCPHERSON RD",
            "address_2": "STE 2509",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456511",
            "telephone_number": "956-795-1887",
            "fax_number": "956-795-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 MC PHERSON RD",
            "address_2": "STE 2509",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456511",
            "telephone_number": "956-795-1887",
            "fax_number": "956-795-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL J DELIZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "DELIZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-220-4597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "N2057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11136884",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.