Maria Raquel Del Prado De Vera

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1083269 Issued in TX

Practice address

1855 W Goodwin St
Pleasanton, TX 78064-4502

Phone

(830) 569-4313

NPI assigned

Aug 13, 2018

Sex

Female

Sole proprietor

No

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, last updated by the provider on Aug 13, 2018.

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1326527052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 GEORGIA ANN DR",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780643322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W GOODWIN ST",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780644502",
            "telephone_number": "830-569-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VERA",
        "first_name": "MARIA RAQUEL",
        "middle_name": "DEL PRADO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1083269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Cordero, L.C.S.W.
• Laura L Crafton, M.D.
• Mason Lee Cullum
• Philip Damico, DDS
• Millicent Reynolds Davidson, FNP-BC
• Mariana G Deanda
• Joseph Arthur Dominguez III, APA-C
• Amanda Dority, RDH
• Frank Ray Douglas
• Magen Dxon

• All providers in Pleasanton, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.