Active NPI
Jesus Enrique Lira Jr., RD
- Registered Dietitian
- Laredo, TX
National Provider Identifier
1518397488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT82292
- Practice address
- 5711 Springfield Ave
Ste. B
Laredo, TX 78041-3282 - Phone
- (956) 712-9988
- Fax
- (956) 791-4888
- NPI assigned
- Nov 13, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT82292 | TX | Primary |
Addresses
Primary practice location
5711 Springfield Ave
Ste. B
Laredo, TX 78041-3282
Mailing address
5711 Springfield Ave
Ste. B
Laredo, TX 78041-3282
Phone (956) 712-9988
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 |
|---|---|---|---|
| DT82292 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1518397488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5711 SPRINGFIELD AVE",
"address_2": "STE. B",
"city": "LAREDO",
"state": "TX",
"postal_code": "780413282",
"telephone_number": "956-712-9988",
"fax_number": "956-791-4888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5711 SPRINGFIELD AVE",
"address_2": "STE. B",
"city": "LAREDO",
"state": "TX",
"postal_code": "780413282",
"telephone_number": "956-712-9988",
"fax_number": "956-791-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIRA",
"first_name": "JESUS",
"middle_name": "ENRIQUE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-13",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT82292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
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- Lionheart Primary Home Care Inc
- Lionsitos Primary Home Care, Inc.
- Juan Antonio Lira Escobedo, FNP-C
- Little Heroes Pediatric Denitstry PLLC
- Lissa Lope Liveson, OTR
- Carlos Mauricio Llanes, MD
- LMJ Imaging Services Open MRI, Inc
- LNM Behavioral Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.