Maria Rosalba Medina

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

AP125508 Issued in TX

Practice address

21216 Northwest Fwy
Suite 440
Cypress, TX 77429-1439

Phone

(713) 504-5721

NPI assigned

May 19, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Maria Rosalba Ruiz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1982015368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7514 FOUNTAINCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770411849",
            "telephone_number": "713-504-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21216 NORTHWEST FWY",
            "address_2": "SUITE 440",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291439",
            "telephone_number": "713-504-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MARIA",
        "middle_name": "ROSALBA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "AP125508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "RUIZ",
            "middle_name": "ROSALBA",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Med1 Medical Supplies-Texas LLC
• Medcare Partners Houston Ipa PLLC
• Medical Associates of Cypress PLLC
• Medical Devices Texas, LLC
• Ezequiel Medina
• Jonathan Lucas Medlock, BEHAVIOR ANALYST
• Dania Melany Medrano
• Jaqueline Medrano, BEHAVIOR ANALYST
• Yeri Janeth Medrano
• Medroute Logistics LLC

• Registered Nurse in Cypress, TX
• Providers in Cypress, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.