Organization Active NPI

Cynthia T. Vazquez

Doing business as Precious Garden Primary Care

  • Home Health Agency
  • Laredo, TX
National Provider Identifier
1669503744
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
008323 Issued in TX
Legal business name
CYNTHIA T. VAZQUEZ
Doing business as
Precious Garden Primary Care
Practice address
1817 Corpus Christi St
Laredo, TX 78043-3306
Phone
(956) 722-9311
Fax
(956) 723-8616
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cynthia Trevino Vazquez, RNNPI 1316171085
Title
Administrator
Phone
(956) 722-9311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 008323 TX Primary

Addresses

Primary practice location

1817 Corpus Christi St
Laredo, TX 78043-3306

Mailing address

1817 Corpus Christi St
Laredo, TX 78043-3306
Phone (956) 722-9311

Other identifiers 5

IdentifierTypeStateIssuer
001015507MedicaidTX
001012397MedicaidTX
001012398MedicaidTX
185456401MedicaidTX
001012395MedicaidTX

Other names 1

  • Precious Garden Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

1817 Corpus Christi St
Laredo, TX 78043
Phone (956) 722-9311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1669503744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 CORPUS CHRISTI ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780433306",
            "telephone_number": "956-722-9311",
            "fax_number": "956-723-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 CORPUS CHRISTI ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780433306",
            "telephone_number": "956-722-9311",
            "fax_number": "956-723-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA T. VAZQUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "TREVINO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-722-9311",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001015507",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012397",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012398",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185456401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012395",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precious Garden Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.