Provider Demographics
NPI:1194250928
Name:REBUGIO, VINCENT (AGNP-C)
Entity type:Individual
Prefix:
First Name:VINCENT
Middle Name:
Last Name:REBUGIO
Suffix:
Gender:
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3913 ALVARADO ST
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-0281
Mailing Address - Country:US
Mailing Address - Phone:210-605-3399
Mailing Address - Fax:
Practice Address - Street 1:300 E NOLANA LOOP STE B
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-9684
Practice Address - Country:US
Practice Address - Phone:956-715-8292
Practice Address - Fax:956-715-8283
Is Sole Proprietor?:No
Enumeration Date:2017-04-30
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133569363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner