OrganizationActive
Recovery Medical Group, PA
NPI 1205113255 · Substance Abuse Rehabilitation Facility · South Padre Island, TX
Provider details
- NPI number
- 1205113255
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Alejandro Kudisch, Ceo/ Psychiatrist(956) 687-3000
- License
- J7546 (TX)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4610 Padre Blvd
South Padre Island, TX 78597-7327
Phone: (956) 772-9200
Fax: (956) 772-9201
Street-level locationGet directions
Mailing address
Po Box 2078
Mcallen, TX 78505-2078
Registry dates
- Enumerated
- 2011-11-04
- Last updated
- 2011-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.