Individual provider Active NPI

Lilia Azeneth Fuentes, NP

  • Family Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1336334564
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP111036 Issued in TX
Practice address
4115 Pecan Blvd Ste B
McAllen, TX 78501-3695
Phone
(956) 686-5060
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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 AP111036 TX Primary

Addresses

Primary practice location

4115 Pecan Blvd Ste B
McAllen, TX 78501-3695

Mailing address

317 Thunderbird Ave
McAllen, TX 78504-1719
Phone (956) 821-3978

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
I20130719000455 TX Practitioner - Nurse Practitioner 2062653843 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP111036TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Garcia, Jr, M.D., P.L.L.C. CurrentSince May 1, 2013 Accepting new patients
Rio Grande Valley Adult & Internal Medicine Specialists PLLC Past Accepting new patients

Locations

4115 Pecan Blvd
Ste B
McAllen, TX 78501
Phone (956) 686-5060

Organizations & group practices 2

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": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1336334564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 THUNDERBIRD AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785041719",
            "telephone_number": "956-821-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 PECAN BLVD STE B",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785013695",
            "telephone_number": "956-686-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "LILIA",
        "middle_name": "AZENETH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP111036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.