Rhodora Pugao

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT81951 Issued in TX

Practice address

8050 E Hwy 191
Suite 103
Odessa, TX 79765-8613

Phone

(432) 640-2128

Fax

(432) 640-2428

NPI assigned

Jul 25, 2011

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

• Ms. Yeye Pugao Other 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": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1982982997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 E HWY 191",
            "address_2": "SUITE 103",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658613",
            "telephone_number": "432-640-2128",
            "fax_number": "432-640-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 E HWY 191",
            "address_2": "SUITE 103",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658613",
            "telephone_number": "432-640-2128",
            "fax_number": "432-640-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGAO",
        "first_name": "RHODORA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT81951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YEYE",
            "last_name": "PUGAO",
            "prefix": "MS.",
            "credential": "R.D., L.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Registered Dietitian in Odessa, TX
• Providers in Odessa, TX by specialty
• Registered Dietitian in Texas

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