Active NPI
Pedro Colunga, R.N.
- Registered Nurse
- Pearland, TX
National Provider Identifier
1184606584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 711650
- Practice address
- 11710 Shoal Landing St
Pearland, TX 77584 - Phone
- (713) 501-5545
- NPI assigned
- Nov 19, 2005
- Last updated
- Jul 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 711650 | TX | Primary |
Addresses
Primary practice location
11710 Shoal Landing St
Pearland, TX 77584
Mailing address
11710 Shoal Landing St
Pearland, TX 77584-8750
Phone (713) 501-5545
Other practice location 1
7401 S. Main
Houston, TX 77030-4509
Phone (713) 799-2300
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 |
|---|---|---|---|
| 711650 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Protean Surgical Assistants PLLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical-Surgical Registered Nurse
- Pearland, TX
- NPI 1669728572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1184606584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11710 SHOAL LANDING ST",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848750",
"telephone_number": "713-501-5545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11710 SHOAL LANDING ST",
"city": "PEARLAND",
"state": "TX",
"postal_code": "77584",
"telephone_number": "713-501-5545"
}
],
"practiceLocations": [
{
"address_1": "7401 S. Main",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770304509",
"country_code": "US",
"telephone_number": "713-799-2300",
"fax_number": "713-794-3395",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLUNGA",
"first_name": "PEDRO",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-19",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "711650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.