Carlos Servando Trevino, RLD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT81217 Issued in TX

Practice address

5709 Springfield Ave
Laredo, TX 78041-3282

Phone

(956) 728-1769

NPI assigned

Apr 5, 2011

Last updated

Apr 5, 2011By the provider in NPPES

Sex

Male

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

State licenses

Practice roles

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.

• Community Action Corporation of South Texas

  dba ECI Project Ninos

  • Early Intervention Provider Agency
  • Laredo, TX
  • NPI 1487139986

  Dietitian, Registered

  NPD (past)
• Community Action Corporation of South Texas

  dba ECI Project Ninos

  • Early Intervention Provider Agency
  • Sinton, TX
  • NPI 1740755933

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1063701530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 SPRINGFIELD AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413282",
            "telephone_number": "956-728-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5709 SPRINGFIELD AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413282",
            "telephone_number": "956-728-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "CARLOS",
        "middle_name": "SERVANDO",
        "credential": "RLD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT81217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerardo Trejo, PTA
• Alonso Trevino IV, MD
• Ariana Trevino Trevino, M.S., LPC-ASSOCIATE
• Bertha Cristina Trevino, LPC
• Beth A. Trevino, MD
• Cesar Trevino, D.D.S
• Cristina Trevino, ST
• Daniel Trevino
• Deisy Trevino
• Delia V. Trevino, P.T.A.

• Registered Dietitian in Laredo, TX
• Providers in Laredo, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.