| Rgv Health Medical Clinic, Pllc | |
|
832 Ridgewood St Ste B Brownsville TX 78520-0102 | |
| (956) 667-5298 | |
| Not Available |
| Full Name | Rgv Health Medical Clinic, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 832 Ridgewood St Ste B, Brownsville, Texas |
| Authorized Official Name and Position | Rafael Otero (OWNER / PHYSICIAN) |
| Authorized Official Contact | 9565455036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rgv Health Medical Clinic, Pllc 832 Ridgewood St Ste B Brownsville TX 78520-0102 Ph: () - | Rgv Health Medical Clinic, Pllc 832 Ridgewood St Ste B Brownsville TX 78520-0102 Ph: (956) 667-5298 |
| NPI Number | 1215650668 |
|---|---|
| Provider Enumeration Date | 09/21/2022 |
| Last Update Date | 12/07/2022 |
| Medicare PECOS PAC ID | 9032595384 |
|---|---|
| Medicare Enrollment ID | O20221010003017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215650668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Rafael Otero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790289791 PECOS PAC ID: 6103226493 Enrollment ID: I20221025001693 |
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