Individual provider Active NPI

Juan Alberto Neira, RN, FNP

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1508268129
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125987 Issued in TX
Practice address
1203 Welby CT
Laredo, TX 78041-1951
Phone
(956) 794-8840
NPI assigned
Sep 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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 AP125987 TX Primary

Addresses

Primary practice location

1203 Welby CT
Laredo, TX 78041-1951

Mailing address

1203 Welby CT
Laredo, TX 78041-1951
Phone (956) 794-8840

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
I20160211001344 TX Practitioner - Nurse Practitioner 9335443399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Med Urgent Care LLCGroup PAC ID 0345541140, 8 clinicians

Practice addresses (Care Compare)

5711 McPherson Rd
Suite 103
Laredo, TX 78041-6838
Phone (956) 602-8595

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP125987TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Med Urgent Care LLC CurrentSince Dec 29, 2015 Accepting new patients
Garza Medical Associates PastSince Dec 29, 2015 Accepting new patients

Locations

5711 McPherson Rd
Laredo, TX 78041
Phone (361) 853-1900

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

10901 International Blvd
Ste 200
Laredo, TX 78045
Phone 95660285952469

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

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": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1508268129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 WELBY CT",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780411951",
            "telephone_number": "956-794-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 WELBY CT",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780411951",
            "telephone_number": "956-794-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIRA",
        "first_name": "JUAN",
        "middle_name": "ALBERTO",
        "credential": "RN, FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.