Provider Demographics
NPI:1578526091
Name:POSADA, ROLANDO (MD)
Entity Type:Individual
Prefix:DR
First Name:ROLANDO
Middle Name:
Last Name:POSADA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 VICTORIA LANE
Mailing Address - Street 2:SUITE 7A
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550
Mailing Address - Country:US
Mailing Address - Phone:956-423-1104
Mailing Address - Fax:956-423-1077
Practice Address - Street 1:512 VICTORIA LANE
Practice Address - Street 2:SUITE 7A
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550
Practice Address - Country:US
Practice Address - Phone:956-423-1104
Practice Address - Fax:956-423-1077
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-07
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7201207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX121366203Medicaid
TXG89490Medicare UPIN
TX8B7683Medicare PIN
TX121366203Medicaid