Organization Active NPI

South Laredo Health Care Clinic

  • Clinic/Center
  • Laredo, TX
National Provider Identifier
1700216132
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
653204 Issued in TX
Legal business name
SOUTH LAREDO HEALTH CARE CLINIC
Practice address
2110 Lomas del Sur Ste 103
Laredo, TX 78046-5751
Phone
(956) 489-0098
NPI assigned
Nov 21, 2013
Last updated
Nov 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Mr. Hector Emilio Garcia, FNPNPI 1659664423
Title
Manager
Phone
(956) 286-6834

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
Clinic/Center 261Q00000X 653204 TX Primary

Addresses

Primary practice location

2110 Lomas del Sur Ste 103
Laredo, TX 78046-5751

Mailing address

2110 Lomas del Sur Ste 103
Laredo, TX 78046-5751
Phone (956) 489-0098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140519000969 TX Part B Supplier - Clinic/Group Practice 4688897705 Receives reassigned benefits from 3 practitioners
Practice locations: Laredo, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2074036South Laredo Health Care Clinic2110 Lomas del Sur Ste 103, Laredo, TX 78046Certificate of waiverFeb 28, 2028

National Provider Directory

National Provider Directory

Locations

1920 San Bernardo Ave
Ste 109
Laredo, TX 78040
Phone (956) 568-6874

2110 Lomas del Sur
Ste 103
Laredo, TX 78046
Phone (956) 489-0098

2110 Lomas del Sur
Ste 104
Laredo, TX 78046

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1700216132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 LOMAS DEL SUR STE 103",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780465751",
            "telephone_number": "956-489-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 LOMAS DEL SUR STE 103",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780465751",
            "telephone_number": "956-489-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LAREDO HEALTH CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "EMILIO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "956-286-6834",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "653204",
            "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 Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.