Individual provider Active NPI

Rafael Olacio Jr., PA-C

  • Medical Physician Assistant
  • Harlingen, TX
National Provider Identifier
1982915971
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA06825 Issued in TX
Practice address
512 Victoria LN
Suite 12
Harlingen, TX 78550-3226
Phone
(956) 440-6300
NPI assigned
Jun 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA06825 TX Primary

Addresses

Primary practice location

512 Victoria LN
Suite 12
Harlingen, TX 78550-3226

Mailing address

512 Victoria LN
Suite 12
Harlingen, TX 78550-3226
Phone (956) 440-6300

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120113000482 TX Practitioner - Physician Assistant 9335316314 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA06825TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Valley Hospital Services Past Accepting new patients

Organizations & group practices 3

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": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1982915971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 VICTORIA LN",
            "address_2": "SUITE 12",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503226",
            "telephone_number": "956-440-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 VICTORIA LN",
            "address_2": "SUITE 12",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503226",
            "telephone_number": "956-440-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLACIO",
        "first_name": "RAFAEL",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.