Carlos Manrique de Lara, M.D., F.A.C.S.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

K3794 Issued in TX

Practice address

2518 W Trenton Rd
Edinburg, TX 78539-8070

Phone

(956) 661-9000

Fax

(956) 686-7833

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Carlos Manrique de Lara Mdpa

  • Ophthalmology Physician
  • Edinburg, TX
  • NPI 1770558447
  Medicare reassignment NPD Authorized official
• William Justus Head MD PA

  • Ophthalmology Physician
  • McAllen, TX
  • NPI 1811939184
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Hospital at Renaissance, LTD

  • General Acute Care Hospital
  • Edinburg, TX
  • NPI 1053317362
  Care Compare affiliation
• Doctors Hospital at Renaissance, LTD

  • Transplant Surgery Physician
  • McAllen, TX
  • NPI 1104338052

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1699740324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2706",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785022706",
            "telephone_number": "956-661-9000",
            "fax_number": "956-686-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398070",
            "telephone_number": "956-661-9000",
            "fax_number": "956-686-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANRIQUE DE LARA",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K3794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096608703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russaal Singh Mann
• Nashin Manohar, D.O.
• Priti M Manohar, MD
• Jacinto I Manon, MD
• Maria Aurora Raypon Manongas, MD
• Laura E Manzanilla Luberti, MD
• Marcelo Gutierrez Construction/Remodeling, Inc.
• Lois Huldah Marchand, RN
• Patricia Marcolin, MD
• Sanam Maredia

• Ophthalmology Physician in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.