Individual provider Active NPI

Roberto Diaz-Rohena, MD

  • Ophthalmology Physician
  • McAllen, TX
National Provider Identifier
1972584407
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
J4775 Issued in TX
Practice address
1309 E Ridge Rd
Suite 1
McAllen, TX 78503-1517
Phone
(956) 631-8875
Fax
(956) 682-6280
NPI assigned
Nov 10, 2005
Last updated
Jan 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X J4775 TX Primary

Addresses

Primary practice location

1309 E Ridge Rd
Suite 1
McAllen, TX 78503-1517

Mailing address

PO Box 531848
Harlingen, TX 78553-1848
Phone (956) 631-8875

Other identifiers 1

IdentifierTypeStateIssuer
137745912MedicaidTX

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Retina and Vitreous of Texas PLLC Ophthalmology PastSince Jul 9, 2018 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1972584407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531848",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785531848",
            "telephone_number": "956-631-8875",
            "fax_number": "956-682-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 E RIDGE RD",
            "address_2": "SUITE 1",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031517",
            "telephone_number": "956-631-8875",
            "fax_number": "956-682-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-ROHENA",
        "first_name": "ROBERTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "J4775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137745912",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.