Individual provider Active NPI

Alfredo Equigua Jr., MD

  • Family Medicine Physician
  • Laredo, TX
National Provider Identifier
1700536653
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V9593 Issued in TX
Practice address
1702 Lafayette St
Laredo, TX 78041-2461
Phone
(956) 795-8100
NPI assigned
Mar 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X V9593 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1702 Lafayette St
Laredo, TX 78041-2461

Mailing address

208 E Olive St
Laredo, TX 78041-4910
Phone (956) 441-5041

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250725001393 TX Practitioner - Family Practice 7618484650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Community Health Center IncGroup PAC ID 0941193510, 22 clinicians

Practice addresses (Care Compare)

1702 Lafayette St
Laredo, TX 78041-2461
Phone (956) 625-3344

Hospital & facility affiliations

  • Laredo Medical Center Hospital, Laredo, TX, CCN 450029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Community Health Center, Inc CurrentSince Aug 1, 2025 Accepting new patients
Gateway Community Health Center, Inc CurrentSince Aug 1, 2025 Accepting new patients
Gateway Community Health Center, Inc. Past Accepting new patients

Locations

1702 Lafayette St
Laredo, TX 78041
Phone (956) 625-3344

1515 Pappas St
Laredo, TX 78041
Phone (956) 523-3642

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1700536653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E OLIVE ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780414910",
            "telephone_number": "956-441-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 LAFAYETTE ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412461",
            "telephone_number": "956-795-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EQUIGUA",
        "first_name": "ALFREDO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V9593",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.