Mario a Rodriguez MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K3639 Issued in TX

Legal business name

MARIO A RODRIGUEZ MD PA

Doing business as

Rodriguez Medical Clinic

Practice address

201 N FM 3167
Suite 109
Rio Grande City, TX 78582-6724

Phone

(956) 263-1671

Fax

(956) 263-1674

NPI assigned

Jul 30, 2007

Organization subpart

No

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

Authorized official

Name

Mario A Rodriguez, M.D.NPI 1528086006

Title

President

Phone

(956) 263-1671

Specialties & licenses 1

Addresses

Other names 1

• Rodriguez Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Mario A Rodriguez, M.D.

  • Family Medicine Physician
  • Rio Grande City, TX
  • NPI 1528086006
  Medicare reassignment NPD Authorized official
• Lilia Muniz Escobar, PA-C

  • Physician Assistant
  • Rio Grande City, TX
  • NPI 1134545387
  Medicare reassignment
• Mirsa Garcia, FNP-C

  • Family Nurse Practitioner
  • Rio Grande City, TX
  • NPI 1790373967
  NPD (past)

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1962692574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N FM 3167",
            "address_2": "SUITE 109",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826724",
            "telephone_number": "956-263-1671",
            "fax_number": "956-263-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N FM 3167",
            "address_2": "SUITE 109",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826724",
            "telephone_number": "956-263-1671",
            "fax_number": "956-263-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO A RODRIGUEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-263-1671",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rodriguez Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roxanna Marie Lopez, SLPA
• Luis Valencia MD PA (Valley Pediatric Clinic)
• Luis Valencia MD PA (Valley Pediatric Clinic)
• Elisa Lujano, RPH
• Javier David Margo Jr., M.D.
• Alyssa J Martinez
• Guadalupe Tomas Martinez
• Jessica Lynn Martinez, OT
• Jose Luis Martinez Jr.
• Mayra O Martinez, PA

• Family Medicine Physician in Rio Grande City, TX
• Providers in Rio Grande City, TX by specialty
• Family Medicine Physician in Texas

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