Individual provider Active NPI

Carlos Mireles

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1033086442
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1225752 Issued in TX
Practice address
6416 Polaris Dr Ste 2
Laredo, TX 78041-2089
Phone
(956) 568-5140
NPI assigned
Oct 21, 2025
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1225752 TX Primary

Addresses

Primary practice location

6416 Polaris Dr Ste 2
Laredo, TX 78041-2089

Mailing address

407 Cayman CT
Laredo, TX 78045-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260625003024 TX Practitioner - Nurse Practitioner 3870066335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

407 Cayman CT
Laredo, TX 78045-8002

6416 Polaris Dr
Suite 2
Laredo, TX 78041-2088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1225752TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andres Garcia Zuniga MD PA Single Specialty CurrentSince May 12, 2026 Accepting new patients
Andres Garcia Zuniga, M.D.,PA Single Specialty CurrentSince May 12, 2026 Accepting new patients

Locations

1203 Welby Ct
Laredo, TX 78041
Phone (956) 794-4440

6416 Polaris Dr
Ste 2
Laredo, TX 78041
Phone (956) 568-5140

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1033086442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CAYMAN CT",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780458002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 POLARIS DR STE 2",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412089",
            "telephone_number": "956-568-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRELES",
        "first_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-21",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1225752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.