Provider Demographics
NPI:1821093246
Name:ASCARRUNZ, ROLANDO CARLOS (MD)
Entity Type:Individual
Prefix:
First Name:ROLANDO
Middle Name:CARLOS
Last Name:ASCARRUNZ
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 1:601 TRENTON RD
Mailing Address - Street 2:SUITE D PMB 133
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2107
Mailing Address - Country:US
Mailing Address - Phone:956-230-1780
Mailing Address - Fax:956-230-1781
Practice Address - Street 1:2310 N ED CAREY DR
Practice Address - Street 2:SUITE 1A
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8200
Practice Address - Country:US
Practice Address - Phone:956-428-5522
Practice Address - Fax:956-421-2759
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-14
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9057207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8198BOOtherBLUE CROSS BLUE SHIELD
TX8198BOOtherBLUE CROSS BLUE SHIELD
TX8F7571Medicare PIN
TX110232869Medicare PIN