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General NPI Number Information
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NPI Number | 1376657023
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Entity Type | Organization
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Legal Business Name | PADRE ISLAND HEALTH SPECIALISTS PA
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 09/25/2008
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Provider Practice Location Address
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Address Line | 3401 PADRE BLVD SUITE B
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City | SOUTH PADRE ISLAND
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State | TX
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Zip | 78597-7124
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Country | US
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Telephone | 956-772-1911
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Fax | 956-772-9010
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Provider Business Mailing Address
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Address Line | 3401 PADRE BLVD SUITE B
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City | SOUTH PADRE ISLAND
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State | TX
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Zip | 78597-7124
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Country | US
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Telephone | 956-772-1911
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Fax | 956-772-9010
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROLANDO POSADA
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Credential | MD
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Telephone | 956-772-1911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K7201
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License Number State | TX
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