Luis Alberto Wico I, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1096585 Issued in TX

Practice address

310 Silver Leaf Oak Dr
Laredo, TX 78045-6853

Phone

(956) 220-3329

NPI assigned

Oct 18, 2022

Last updated

Oct 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1285350579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SILVER LEAF OAK DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SILVER LEAF OAK DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456853",
            "telephone_number": "956-220-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICO",
        "first_name": "LUIS",
        "middle_name": "ALBERTO",
        "name_suffix": "I",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1096585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JD Wendeborn, PT
• Monica Lee West, COTA
• Annabelle Whalen, MSN, FNP-BC
• Whispers Behavioral Health Center
• Iris Cassandra Wico
• Casey Marie Wildenborg, PHARMD
• Wilfredo Sandoval, OD,PLLC
• Tiffany Ann Willers, DO
• William R. Rublee (Laredo Rehab & Therapy)
• Keith Steven Williams Jr.

• Family Nurse Practitioner in Laredo, TX
• Providers in Laredo, 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 Oct 18, 2022; 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.