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ROSELLE C. PETTORINO MD PA NPI 1205150091


NPI Information

NPI: 1205150091
Provider Name: ROSELLE C. PETTORINO MD, PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
864 CENTRAL BLVD STE 300
BROWNSVILLE, TX
ZIP 78520
Phone: (956) 541-6311
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ROSELLE C. PETTORINO MD, PA is a specialist in Brownsville, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ROSELLE C. PETTORINO MD, PA NPI is 1205150091. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

864 CENTRAL BLVD STE 300
BROWNSVILLE, TX
ZIP 78520-539
Phone: (956) 541-6311
Fax: (956) 541-6387

The provider's authorized official is Roselle C. Pettorino .
The authorized official title is General Surgeon and has the following contact phone number (956) 541-6311.

The enumeration date for this NPI number is 3/23/2010 and was last updated on 11/29/2023.


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
1174400000XSpecialistK8420TEXASYes

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
1212330901MEDICAIDTEXAS
2029740001MEDICAIDTEXAS

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: 5/5/2024

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.