RIO GRANDE DIAGNOSTIC IMAGING PA NPI 1407929474

NPI Information

NPI: 1407929474
Provider Name: RIO GRANDE DIAGNOSTIC IMAGING, PA
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1801 N OREGON ST
EL PASO, TX
ZIP 79902
Phone: (915) 595-9202
Get Directions

RIO GRANDE DIAGNOSTIC IMAGING, PA is a diagnostic radiology radiology in El Paso, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RIO GRANDE DIAGNOSTIC IMAGING, PA NPI is 1407929474. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1801 N OREGON ST
EL PASO, TX
ZIP 79902-524
Phone: (915) 595-9202
Fax: (915) 595-9781

The provider's authorized official is Ira Sam Kupetz .
The authorized official title is President and has the following contact phone number (817) 731-7771.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 4/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0003EE	OTHER	TEXAS	BCBS
2	CG5428	OTHER	TEXAS	MEDICARE RR
3	00077304	MEDICAID	TEXAS
4	201074651	MEDICAID	TEXAS
5	00609N	MEDICARE PIN	TEXAS
6	095053701	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »