Individual provider Active NPI

Hector Rodriguez, FNP

  • Family Nurse Practitioner
  • Alton, TX
National Provider Identifier
1992724090
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
631625 Issued in TX
Practice address
3509 E Main Ave
Suite 101
Alton, TX 78573-1561
Phone
(956) 580-9950
Fax
(956) 580-9953
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 631625 TX Primary

Addresses

Primary practice location

3509 E Main Ave
Suite 101
Alton, TX 78573-1561

Mailing address

3509 E Main Ave
Suite 101
Alton, TX 78573-1561
Phone (956) 580-9950

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
I20090901000151 TX Practitioner - Nurse Practitioner 1355309741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Donkey Health Services IncGroup PAC ID 3072668821, 2 clinicians

Practice addresses (Care Compare)

3509 E Main Ave
Suite 101
Alton, TX 78573-1562
Phone (956) 580-9950

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1992724090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 E MAIN AVE",
            "address_2": "SUITE 101",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "785731561",
            "telephone_number": "956-580-9950",
            "fax_number": "956-580-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 E MAIN AVE",
            "address_2": "SUITE 101",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "785731561",
            "telephone_number": "956-580-9950",
            "fax_number": "956-580-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "HECTOR",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "631625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, TX

Sources for this page

Verify at the official NPI Registry.