Individual provider Active NPI

Jose Luis Milera Jr., FNP

  • Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1144689639
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP130279 Issued in TX
Practice address
8111 Estate Dr
Laredo, TX 78045-8130
Phone
(956) 235-5019
NPI assigned
Feb 12, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP130279 TX Primary

Addresses

Primary practice location

8111 Estate Dr
Laredo, TX 78045-8130

Mailing address

8111 Estate Dr
Laredo, TX 78045-8130
Phone (956) 235-5019

Other identifiers 1

IdentifierTypeStateIssuer
AP130279OtherTXTEXAS BOARD OF NURSING

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
I20160428001013 TX Practitioner - Nurse Practitioner 7618980012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donna Medical Clinic, PLLCGroup PAC ID 1153216734, 35 clinicians

Practice addresses (Care Compare)

307 N D Salinas Blvd
Donna, TX 78537-2929
Phone (956) 464-2402

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP130279TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Donna Medical Clinic, PLLC CurrentSince Mar 6, 2023 Accepting new patients
Webb Emergency Medicine Associates PA Nurse Practitioner CurrentSince Mar 19, 2016 Accepting new patients

Locations

307 N Salinas Blvd
Donna, TX 78537
Phone (956) 464-2402

2010 E Business Highway 83
Donna, TX 78537
Phone (956) 461-6666

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1144689639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 ESTATE DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780458130",
            "telephone_number": "956-235-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 ESTATE DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780458130",
            "telephone_number": "956-235-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILERA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP130279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "AP130279",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.