Active NPI
Juan A Lopez, RN
- Family Nurse Practitioner
- Laredo, TX
National Provider Identifier
1124067749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0374930
- Practice address
- 1710 E Saunders St
Ste B675
Laredo, TX 78041-5443 - Phone
- (956) 724-3108
- Fax
- (956) 724-3613
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0374930 | TX | Primary |
Addresses
Primary practice location
1710 E Saunders St
Ste B675
Laredo, TX 78041-5443
Mailing address
PO Box 3600
Laredo, TX 78044-3600
Phone (956) 724-3108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0374930 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adolfo G. Garcia, M.D. P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nephrology Physician
- Laredo, TX
- NPI 1326094939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366934400000",
"number": "1124067749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3600",
"city": "LAREDO",
"state": "TX",
"postal_code": "780443600",
"telephone_number": "956-724-3108",
"fax_number": "956-724-3613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 E SAUNDERS ST",
"address_2": "STE B675",
"city": "LAREDO",
"state": "TX",
"postal_code": "780415443",
"telephone_number": "956-724-3108",
"fax_number": "956-724-3613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JUAN",
"middle_name": "A",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2013-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "0374930",
"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 Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.