Individual provider Active NPI

Amber Theresa Arellano

  • Nurse Practitioner
  • Port Isabel, TX
National Provider Identifier
1326978958
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1234591 Issued in TX
Practice address
112 W Queen Isabella Blvd Ste C
Port Isabel, TX 78578-2970
Phone
(956) 524-0555
Fax
(956) 524-0405
NPI assigned
May 25, 2026
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1234591 TX Primary

Addresses

Primary practice location

112 W Queen Isabella Blvd Ste C
Port Isabel, TX 78578-2970

Mailing address

112 W Queen Isabella Blvd Ste C
Port Isabel, TX 78578-2970
Phone (956) 524-0555

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

State licenses

LicenseStateTypeSpecialty
1234591TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luna Medical Clinic PLLC Family Medicine 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.

NPI Registry JSON

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1326978958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W QUEEN ISABELLA BLVD STE C",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785782970",
            "telephone_number": "956-524-0555",
            "fax_number": "956-524-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W QUEEN ISABELLA BLVD STE C",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785782970",
            "telephone_number": "956-524-0555",
            "fax_number": "956-524-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARELLANO",
        "first_name": "AMBER",
        "middle_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1234591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Isabel, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.