Individual provider Active NPI

Carlos Mauricio Llanes, MD

  • Pulmonary Disease Physician
  • Laredo, TX
National Provider Identifier
1073508222
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
H4019 Issued in TX
Practice address
1519 E Bustamante St
Suite E
Laredo, TX 78041-5305
Phone
(956) 795-4770
Fax
(956) 795-4773
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X H4019 TX Primary

Addresses

Primary practice location

1519 E Bustamante St
Suite E
Laredo, TX 78041-5305

Mailing address

PO Box 2926
Laredo, TX 78044-2926
Phone (956) 795-4770

Other identifiers 1

IdentifierTypeStateIssuer
139535218MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091119000221 TX Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9537257944 Practice locations: Laredo, TX

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1519 E Bustamante
Suite E
Laredo, TX 78041-5305

1519 E Bustamante St
Suite E
Laredo, TX 78041-5305
Phone (956) 795-4770

Hospital & facility affiliations

  • Del Alma Home Health LLC Home health agency, Laredo, TX, CCN 747852
  • Border Skilled Services Inc Home health agency, Laredo, TX, CCN 747258
  • Friendly Care Home Health Services, LLC Home health agency, Laredo, TX, CCN 747296
  • Laredo Medical Center Hospital, Laredo, TX, CCN 450029
  • Doctors Hospital of Laredo Hospital, Laredo, TX, CCN 450643
  • Laredo Medical Center Nursing home, Laredo, TX, CCN 675268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos M Llanes, MD Pulmonary Disease CurrentSince Apr 1, 2012 Accepting new patients
Laredo Texas Hospital Company LP Past Accepting new patients
Doctors Hospital of Laredo Past Accepting new patients

Locations

1519 E Bustamante St
Ste E
Laredo, TX 78041
Phone (956) 795-4770

1519 E Bustamante St
Laredo, TX 78041
Phone (956) 718-2020

Organizations & group practices 3

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1073508222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2926",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780442926",
            "telephone_number": "956-795-4770",
            "fax_number": "956-795-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 E BUSTAMANTE ST",
            "address_2": "SUITE E",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415305",
            "telephone_number": "956-795-4770",
            "fax_number": "956-795-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLANES",
        "first_name": "CARLOS",
        "middle_name": "MAURICIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "H4019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139535218",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.