Active NPI
Manuel Yzquierdo, ATP, CRTS
- Other Technician
- McAllen, TX
National Provider Identifier
1619256732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- ATP5326
- Practice address
- 1305 E Nolana Ave
Suite H
McAllen, TX 78504-6114 - Phone
- (956) 618-4900
- Fax
- (956) 618-1829
- NPI assigned
- Aug 7, 2011
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | ATP5326 | IL | Primary |
Addresses
Primary practice location
1305 E Nolana Ave
Suite H
McAllen, TX 78504-6114
Mailing address
2917 River Bend CT
Suite H
Corpus Christi, TX 78415-5511
Phone (361) 219-5703
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 |
|---|---|---|---|
| ATP5326 | IL | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372204800000",
"number": "1619256732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2917 RIVER BEND CT",
"address_2": "SUITE H",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784155511",
"telephone_number": "361-219-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 E NOLANA AVE",
"address_2": "SUITE H",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785046114",
"telephone_number": "956-618-4900",
"fax_number": "956-618-1829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YZQUIERDO",
"first_name": "MANUEL",
"name_prefix": "Mr.",
"credential": "ATP, CRTS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-07",
"last_updated": "2013-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "IL",
"license": "ATP5326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.