Nitchelle Aidee Rodriguez Mata, PA-C is a
Pediatrics physician based in Mercedes, Texas. Nitchelle Aidee Rodriguez Mata is licensed to practice in Texas (license number PA15602) and her current practice location is 208 Starr St, Mercedes, Texas. She can be reached at her office (for appointments etc.) via phone at
(956) 514-1643.
NPI number for Nitchelle Aidee Rodriguez Mata is 1174266795 and her current mailing address is 3004 S L St Apt 2, Mcallen, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174266795.
Physician's Profile
Full Name | Nitchelle Aidee Rodriguez Mata |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 208 Starr St, Mercedes, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174266795
- Provider Enumeration Date: 04/20/2022
- Last Update Date: 04/20/2022
Medical Identifiers
Medical identifiers for Nitchelle Aidee Rodriguez Mata such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174266795 | NPI | - | NPPES |
PA15602 | Other | TX | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | PA15602 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nitchelle Aidee Rodriguez Mata is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nitchelle Aidee Rodriguez Mata, PA-C 3004 S L St Apt 2, Mcallen, TX 78503-1903 Ph: (956) 388-0443 | Nitchelle Aidee Rodriguez Mata, PA-C 208 Starr St, Mercedes, TX 78570-2734 Ph: (956) 514-1643 |
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