Active NPI
Adriana Mares
- Occupational Therapy Assistant
- Laredo, TX
National Provider Identifier
1376824664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 210865
- Practice address
- 3507 Loop 20
Suite 7a
Laredo, TX 78043-4743 - Phone
- (956) 753-5600
- Fax
- (956) 753-5602
- NPI assigned
- Aug 31, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 210865 | TX | Primary |
Addresses
Primary practice location
3507 Loop 20
Suite 7a
Laredo, TX 78043-4743
Mailing address
3507 Loop 20
Suite 7a
Laredo, TX 78043-4743
Phone (956) 753-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210865 | Other | TN | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 210865 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314748800000",
"number": "1376824664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3507 LOOP 20",
"address_2": "SUITE 7A",
"city": "LAREDO",
"state": "TX",
"postal_code": "780434743",
"telephone_number": "956-753-5600",
"fax_number": "956-753-5602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3507 LOOP 20",
"address_2": "SUITE 7A",
"city": "LAREDO",
"state": "TX",
"postal_code": "780434743",
"telephone_number": "956-753-5600",
"fax_number": "956-753-5602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARES",
"first_name": "ADRIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-31",
"last_updated": "2011-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "210865",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "210865",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}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 Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.