Organization Active NPI

Affiliates in Digestive & Liver Diseases, P.a.

  • Specialist
  • Corpus Christi, TX
National Provider Identifier
1356552004
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F7877 Issued in TX
Legal business name
AFFILIATES IN DIGESTIVE & LIVER DISEASES, P.A.
Practice address
5508 Ocean Dr
Corpus Christi, TX 78412-2750
Phone
(361) 215-3285
Fax
(361) 906-0125
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Dr. Manuel Mireles Perez, M.D.
Title
Ceo
Phone
(361) 215-3285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X F7877 TX Primary

Addresses

Primary practice location

5508 Ocean Dr
Corpus Christi, TX 78412-2750

Mailing address

5508 Ocean Dr
Corpus Christi, TX 78412-2750
Phone (361) 215-3285

Other identifiers 1

IdentifierTypeStateIssuer
085707001MedicaidTX

National Provider Directory

National Provider Directory

Locations

1701 3rd St
Corpus Christi, TX 78404
Phone (361) 884-2875

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1356552004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 OCEAN DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784122750",
            "telephone_number": "361-215-3285",
            "fax_number": "361-906-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5508 OCEAN DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784122750",
            "telephone_number": "361-215-3285",
            "fax_number": "361-906-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATES IN DIGESTIVE & LIVER DISEASES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "MIRELES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-215-3285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F7877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085707001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.