Provider Demographics
NPI:1447379631
Name:ROBERTO G. ROLFINI, M.D., P.A.
Entity Type:Organization
Organization Name:ROBERTO G. ROLFINI, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:G
Authorized Official - Last Name:ROLFINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-226-2424
Mailing Address - Street 1:343 W HOUSTON ST
Mailing Address - Street 2:SUITE #102
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-2147
Mailing Address - Country:US
Mailing Address - Phone:210-226-2424
Mailing Address - Fax:210-226-2443
Practice Address - Street 1:343 W HOUSTON ST
Practice Address - Street 2:SUITE #102
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-2107
Practice Address - Country:US
Practice Address - Phone:210-226-2424
Practice Address - Fax:210-226-2443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD6680208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX089731601Medicaid
TXB25996Medicare UPIN
TX00K845Medicare PIN