Individual provider Active NPI

Vicente Dominguez III, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1699311704
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144067 Issued in TX
Practice address
7215 McPherson Rd
Laredo, TX 78041-6554
Phone
(956) 608-4500
NPI assigned
Nov 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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 AP144067 TX Primary

Addresses

Primary practice location

7215 McPherson Rd
Laredo, TX 78041-6554

Mailing address

7215 McPherson Rd
Laredo, TX 78041-6554
Phone (956) 608-4500

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
I20220905000123 TX Practitioner - Nurse Practitioner 5092199315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7215 McPherson Rd
Laredo, TX 78041-6554
Phone (956) 608-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monzer H Yazji MD & Associates PLLC CurrentSince May 11, 2022 Accepting new patients
South Texas Physician Partners PLLC CurrentSince Apr 2, 2025 Accepting new patients

Locations

502 S Closner Blvd
Edinburg, TX 78539
Phone (956) 292-0100

6801 McPherson Rd
Laredo, TX 78041
Phone (956) 721-0200

7215 McPherson Rd
Laredo, TX 78041
Phone (956) 608-4500

5201 N 10th St
McAllen, TX 78504
Phone (956) 631-5411

Interoperability endpoints

  • Direct secure messaging: vicente.dominguez.1@33464.direct.athenahealth.com

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": "1574553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1699311704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 MCPHERSON RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416554",
            "telephone_number": "956-608-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 MCPHERSON RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416554",
            "telephone_number": "956-608-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "VICENTE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-24",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.