Organization Active NPI

Ricardo S Trevino

  • Adult Day Care Clinic/Center
  • Laredo, TX
National Provider Identifier
1376752576
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
116310 Issued in TX
Legal business name
RICARDO S TREVINO
Practice address
1212 N Meadow Ave
Laredo, TX 78040-5350
Phone
(956) 753-6493
Fax
(956) 712-0016
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Mr. Ricardo S Trevino
Title
Owner
Phone
(956) 753-6493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 116310 TX Primary

Addresses

Primary practice location

1212 N Meadow Ave
Laredo, TX 78040-5350

Mailing address

1212 N Meadow Ave
Laredo, TX 78040-5350
Phone (956) 753-6493

Other identifiers 2

IdentifierTypeStateIssuer
001001896OtherTXDAHS
116310OtherTXSTATE LICENSE

Other names 1

  • NUESTRA GENTE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nuestra Gente2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1212 N Meadow Ave
Laredo, TX 78040
Phone (956) 286-6870

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1376752576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N MEADOW AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405350",
            "telephone_number": "956-753-6493",
            "fax_number": "956-712-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N MEADOW AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405350",
            "telephone_number": "956-753-6493",
            "fax_number": "956-712-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO S TREVINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-753-6493",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "116310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAHS",
            "identifier": "001001896",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "116310",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NUESTRA GENTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.