Provider Demographics
NPI:1508613472
Name:RIO GRANDE ANESTHESIA & PAIN MEDICINE CONSULTANTS, P .A.
Entity type:Organization
Organization Name:RIO GRANDE ANESTHESIA & PAIN MEDICINE CONSULTANTS, P .A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:REQUENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-632-6020
Mailing Address - Street 1:PO BOX 1230
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78294-1230
Mailing Address - Country:US
Mailing Address - Phone:956-632-6020
Mailing Address - Fax:
Practice Address - Street 1:2820 MICHAELANGELO DR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-1402
Practice Address - Country:US
Practice Address - Phone:956-632-6020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric AnesthesiologyGroup - Single Specialty