Maru Luis Gonzales Ladilad, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP125956 Issued in TX

Practice address

680 Paredes Line Rd
Brownsville, TX 78521-2482

Phone

(956) 541-9499

Fax

(956) 541-1321

NPI assigned

Aug 17, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1408233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408233600000",
    "number": "1285033142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 PAREDES LINE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212482",
            "telephone_number": "956-541-9499",
            "fax_number": "956-541-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 PAREDES LINE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212482",
            "telephone_number": "956-541-9499",
            "fax_number": "956-541-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADILAD",
        "first_name": "MARU LUIS",
        "middle_name": "GONZALES",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-17",
        "last_updated": "2014-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "TX",
            "license": "AP125956",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125956",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP125956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratory Corporation of America
• Laborist Group of Brownsville PLLC
• Lacadenita LLC
• Alycen Brenna Lacombe, PHARM D
• Jamer Ballesteros Ladilad, FNP-C
• Laguna Group Holdings Limited Liability Company
• Laguna Healthcare
• William Hearne Lahaye, PT
• Elizabeth O Laird, ATC
• Bangalore Narayan Lakshmikanth, M.D

• Family Nurse Practitioner in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2014; 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.