Individual provider Active NPI

Alejandro Gabriel Garza, PTA

  • Skilled Nursing Facility
  • Laredo, TX
National Provider Identifier
1679059174
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2091532 Issued in TX
Practice address
1701 Tournament Trail Dr
Laredo, TX 78041-6564
Phone
(956) 727-3422
NPI assigned
Jul 17, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2091532 TX Primary

Addresses

Primary practice location

1701 Tournament Trail Dr
Laredo, TX 78041-6564

Mailing address

3210 Jaime Zapata Memorial Hwy Ste A5
Laredo, TX 78043-5010
Phone (956) 712-9111

Other practice location 1

3210 Jaime Zapata Memorial Hwy Ste A5
Laredo, TX 78043-5010
Phone (956) 712-9111

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

LicenseStateTypeSpecialty
2091532TXMDSkilled Nursing Facility

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1679059174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 JAIME ZAPATA MEMORIAL HWY STE A5",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780435010",
            "telephone_number": "956-712-9111",
            "fax_number": "956-712-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 TOURNAMENT TRAIL DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416564",
            "telephone_number": "956-727-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3210 Jaime Zapata Memorial Hwy Ste A5",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780435010",
            "country_code": "US",
            "telephone_number": "956-712-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "ALEJANDRO",
        "middle_name": "GABRIEL",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "2091532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 17, 2018; 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.