Organization Active NPI

Coreas Family Health Clinic - LLC

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1023533536
Registry record updated Aug 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
COREAS FAMILY HEALTH CLINIC - LLC
Practice address
1008 Paseo de Tiber Ste B
Laredo, TX 78046-8939
Phone
(210) 730-1648
NPI assigned
Aug 4, 2017
Last updated
Aug 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Arcenio Corea, FNP
Title
Owner
Phone
(210) 730-1648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1008 Paseo de Tiber Ste B
Laredo, TX 78046-8939

Mailing address

123 Coronado Ave
Laredo, TX 78043-4747
Phone (210) 730-1648

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501804800000",
    "number": "1023533536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CORONADO AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434747",
            "telephone_number": "210-730-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 PASEO DE TIBER STE B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780468939",
            "telephone_number": "210-730-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREAS FAMILY HEALTH CLINIC - LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A",
        "authorized_official_last_name": "COREA",
        "authorized_official_first_name": "ARCENIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-730-1648",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.