Individual provider Active NPI

Manuel Guadalupe Rodriguez, APRN

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1477212470
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1056922 Issued in TX
Practice address
3120 La Pita Mangana Rd
Suite #100
Laredo, TX 78046
Phone
(956) 568-1350
NPI assigned
Dec 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 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 1056922 TX Primary

Addresses

Primary practice location

3120 La Pita Mangana Rd
Suite #100
Laredo, TX 78046

Mailing address

1301 Hibiscus LN
Laredo, TX 78041-3320
Phone (956) 231-3947

Other practice location 1

8380 Fm 78
Converse, TX 78109-1057
Phone (210) 610-0475

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
I20220309000412 TX Practitioner - Nurse Practitioner 2163816141 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GMG Health Systems Associates PAGroup PAC ID 8123932647, 115 clinicians
South Texas Ancillary Services LTDGroup PAC ID 1456677087, 28 clinicians
Methodist Carenow Urgent Care PLLCGroup PAC ID 3274808043, 71 clinicians

Practice addresses (Care Compare)

711 Pleasanton Rd
San Antonio, TX 78214-1305
Phone (210) 921-6600

7219 Culebra Rd
San Antonio, TX 78251-1305
Phone (210) 509-2603

8380 FM
Suite 78
Converse, TX 78109-1057
Phone (210) 610-0475

Merit-based Incentive Payment System (MIPS)

Final score
87.42 of 100Reported as group
Quality
73.44
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Laredo Emergency Medicine Associates PA CurrentSince Oct 28, 2022 Accepting new patients
South Texas Ancillary Services, LTD CurrentSince May 5, 2025 Accepting new patients
Vital Med Urgent Care LLC CurrentSince Dec 15, 2021 Accepting new patients
Methodist Carenow Urgent Care PLLC CurrentSince Oct 8, 2023 Accepting new patients
GMG Health Systems Associates PA CurrentSince May 5, 2025 Accepting new patients
Southwest Texas Two Medical Group, PLLC Past Accepting new patients
St. David'S Carenow Urgent Care PLLC Past Accepting new patients
Garza Medical Associates PastSince Dec 15, 2021 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

8380 FM 78
Converse, TX 78109
Phone (210) 610-0475

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

3120 Pita Mangana Rd
Ste 100
Laredo, TX 78046
Phone (956) 568-1350

9811 McPherson Rd
Laredo, TX 78045
Phone (956) 796-3900

10901 International Blvd
Ste 200
Laredo, TX 78045
Phone 95660285952469

5711 McPherson Rd
Ste 103
Laredo, TX 78041
Phone (956) 568-1350

7219 Culebra Rd
San Antonio, TX 78251
Phone (210) 509-2603

20780 US Highway 281 N
San Antonio, TX 78258
Phone (210) 963-8445

1347 E Court St
Seguin, TX 78155
Phone (830) 433-9778

Organizations & group practices 8

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": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1477212470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 HIBISCUS LN",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413320",
            "telephone_number": "956-231-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 LA PITA MANGANA RD",
            "address_2": "SUITE #100",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78046",
            "telephone_number": "956-568-1350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8380 Fm 78",
            "address_purpose": "LOCATION",
            "city": "Converse",
            "state": "TX",
            "postal_code": "781091057",
            "country_code": "US",
            "telephone_number": "210-610-0475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MANUEL",
        "middle_name": "GUADALUPE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1056922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.