RAFAEL ALBERTO MIMBELA


Address: 4770 N Expressway # 83, Suite 102, Brownsville, TX 78526-4165
Phone: 9563500779

RAFAEL ALBERTO MIMBELA (NPI# 1730296047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730296047
Entity Type Individual
Full Name RAFAEL ALBERTO MIMBELA
Credential M.D.
Practice Address 4770 N Expressway # 83
Suite 102
Brownsville
TX 78526-4165
Mailing Address Po Box 5718
Brownsville
TX 78523-5718
Practice Telephone 9563500779
Practice Fax Number 9563503006
Mailing Telephone 9563500779
Mailing Fax Number 9563503006
Enumeration Date 2006-08-23
Last Update Date 2015-08-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0008X Pediatrics
Specialization: Neurodevelopmental Disabilities
K1878 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX MEDICARE 614370 01
TX 110734402 05

Office Location

Street Address 4770 N EXPRESSWAY # 83
SUITE 102
City BROWNSVILLE
State TX
Zip Code 78526-4165

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033650544 Champion Wellness Physicians Group Pllc Clinic/Center 4770 N Expressway # 83, Suite 204, Brownsville, TX 78526-4165 2017-03-16
1821338575 Carmen Gonzalez-cruz Nurse Practitioner 4770 N Expressway # 83, Suite 102, Brownsville, TX 78526-4165 2013-02-17
1528291713 Miguel A Petrozzi Md Pa Pediatrics 4770 N Expressway # 83, Suite 102, Brownsville, TX 78526-4165 2009-09-03
1386731073 Rafael Villalobos Md Pa Pediatrics 4770 N Expressway # 83, Suite 102, Brownsville, TX 78526-4120 2006-10-06

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NPI Name Taxonomy Address Enumeration
1053938472 Eva Gabriela Gonzalez Speech-Language Pathologist 1900, 77 N Expy, Suite K, Brownsville, TX 78526 2020-07-01
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1871147975 Madeline Jules Rodriguez Dentist 2155 Ruben M Torres Blvd, Suite 4, Brownsville, TX 78526 2019-07-26
1194381616 Ben Medelez IIi Physical Therapy Assistant 4920 N. Expressway 77, Ste C, Brownsville, TX 78526 2019-05-10
1700368297 Hasayali Mejia Occupational Therapy Assistant 4920 N Expressway 77, Suite C, Brownsville, TX 78526 2018-08-31
1801381983 J&m Home Health LLC Home Health 183 Kleberg Avenue, Brownsville, TX 78526 2018-06-29
1407346158 Ignite Physical Therapy Clinic/Center 1805 Ruben Torres Blvd, Brownsville, TX 78526 2018-05-17
1982192001 Uvalde County Hospital Authority Skilled Nursing Facility 310 America Dr, Brownsville, TX 78526 2018-04-24
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Taxonomy Information

Taxonomy Code 2080P0008X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neurodevelopmental Disabilities

Taxonomy Definition

A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528291713 Miguel A Petrozzi Md Pa Pediatrics 4770 N Expressway # 83, Suite 102, Brownsville, TX 78526-4165 2009-09-03
1386731073 Rafael Villalobos Md Pa Pediatrics 4770 N Expressway # 83, Suite 102, Brownsville, TX 78526-4120 2006-10-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407401581 Verita Juanice Weaver Pediatrics 3703 Nw County Road 3115, Purdon, TX 76679-3074 2019-08-06
1497314611 Saeed Kahkeshani Md Pa Pediatrics 1010 W Baker Rd Ste 104, Baytown, TX 77521-2383 2019-06-11
1780726208 Hilda T. Vollero Pediatrics 502 Timber Terrace Rd, Houston, TX 77024-5604 2007-02-12
1124536404 Fu Jung Howell Pediatrics 10103 Fondren Rd, Houston, TX 77096-4556 2018-01-20
1750813903 Mckinney Brain Training, LLC Pediatrics 331 Berkshire Ct, Prosper, TX 75078-0779 2017-03-28
1033575840 113015 Therapy, Pllc Pediatrics 8323 Southwest Fwy, Suite 101, Houston, TX 77074-1615 2016-01-08
1972905024 Karnik Institute LLC Pediatrics 5750 Balcones Dr Ste 107, Austin, TX 78731-4268 2014-09-19
1497168546 Shaun S. Varghese, M.d., Pllc Pediatrics 920 Medical Plaza Dr, Suite 120, Shenandoah, TX 77380-3260 2014-06-06
1558707711 Davut Pehlivan Pediatrics 6701 Fannin St Ste 1250, Houston, TX 77030 2013-05-15
1093056608 Houston Area Pediatric Neurology Pllc Pediatrics 17510 W Grand Pkwy S, Suite 440, Sugar Land, TX 77479-2645 2013-03-06
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Competitor

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City BROWNSVILLE
Zip Code 78526

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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