Active NPI
South Laredo Health Care Clinic
- Clinic/Center
- Laredo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 653204
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Hector Emilio Garcia, FNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2074036 | South Laredo Health Care Clinic | Certificate of waiver | Feb 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Laredo, TX
- NPI 1659664423
-
- Nurse Practitioner
- Laredo, TX
- NPI 1558687541
-
- Family Medicine Physician
- Laredo, TX
- NPI 1316020456
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
- Jose H Soto III, NNP-BC
- Jose Manuel Soto
- Julia A Soto, ST
- Lizeth Alejandra Soto, CPHT
- South Laredo Family Clinic PA
- South Laredo Imaging Center
- South Texas Back Clinic Inc (South Texas Spine & Rehab)
- South Texas Bariatric and Metabolic Institute, PLLC
- South Texas Council on Alcohol and Drug Abuse
- South Texas Development Council
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.