Dorellda Estrada Moncada, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP1129620 Issued in TX

Practice address

1673 E San Benito St Ste D
Rio Grande City, TX 78582-3482

Phone

(956) 263-1387

NPI assigned

Aug 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1023791506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 E SAN BENITO ST STE D",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785823482",
            "telephone_number": "956-263-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 E SAN BENITO ST STE D",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785823482",
            "telephone_number": "956-263-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA MONCADA",
        "first_name": "DORELLDA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP1129620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Rio Grande City, TX
• Providers in Rio Grande City, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.