Provider Demographics
NPI:1770469272
Name:RIO GRANDE MENTAL HEALTH PLLC
Entity type:Organization
Organization Name:RIO GRANDE MENTAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:GERARDO
Authorized Official - Last Name:CERVANTES
Authorized Official - Suffix:
Authorized Official - Credentials:DNP APRN
Authorized Official - Phone:956-371-2007
Mailing Address - Street 1:PO BOX 1072
Mailing Address - Street 2:
Mailing Address - City:CASTROVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78009-1072
Mailing Address - Country:US
Mailing Address - Phone:956-371-2007
Mailing Address - Fax:956-338-2993
Practice Address - Street 1:222 N EXPRESSWAY 77/83 STE 181
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-2258
Practice Address - Country:US
Practice Address - Phone:956-338-2850
Practice Address - Fax:956-338-2993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)