Individual provider Active NPI

Raymundo Alejandro Arredondo, FNP

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1326349010
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
539621 Issued in TX
Practice address
10710 McPherson Rd
# 101
Laredo, TX 78045-6271
Phone
(956) 724-7145
Fax
(956) 724-4944
NPI assigned
Nov 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 539621 TX Primary

Addresses

Primary practice location

10710 McPherson Rd
# 101
Laredo, TX 78045-6271

Mailing address

10710 McPherson Rd
Suite # 101
Laredo, TX 78045-6271
Phone (956) 724-7145

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
I20141003001528 TX Practitioner - Nurse Practitioner 6002723848 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
539621TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Community Health Center, Inc CurrentSince Oct 8, 2020 Accepting new patients
Gateway Community Health Center, Inc CurrentSince Oct 8, 2020 Accepting new patients
Gateway Community Health Center, Inc. Past Accepting new patients

Locations

1515 Pappas St
Laredo, TX 78041
Phone (956) 523-3642

6010 McPherson Rd
Unit E1
Laredo, TX 78041

1702 Lafayette St
Laredo, TX 78041
Phone (956) 625-3344

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1326349010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 MCPHERSON RD",
            "address_2": "SUITE # 101",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456271",
            "telephone_number": "956-724-7145",
            "fax_number": "956-724-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MCPHERSON RD",
            "address_2": "# 101",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456271",
            "telephone_number": "956-724-7145",
            "fax_number": "956-724-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARREDONDO",
        "first_name": "RAYMUNDO",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-11",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "539621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.