Individual provider Active NPI

Fernando Manuel Juarez Jr.

  • Family Medicine Physician
  • Laredo, TX
National Provider Identifier
1720924095
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49027 Issued in TX
Practice address
1937 E Bustamante St Ofc 1.1059
Laredo, TX 78041-5416
Phone
(956) 523-7413
Fax
(210) 450-2419
NPI assigned
Apr 28, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 49027 TX Primary

Addresses

Primary practice location

1937 E Bustamante St Ofc 1.1059
Laredo, TX 78041-5416

Mailing address

1937 E Bustamante St
Laredo, TX 78041-5416
Phone (956) 415-7722

Other practice location 1

4940 Charles Katz
San Antonio, TX 78229-1911
Phone (210) 450-9948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2409 O Henry Dr
Laredo, TX 78041-2154

8431 Fredericksburg Rd
FL 5
San Antonio, TX 78229-3392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
49027TXMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1720924095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 E BUSTAMANTE ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415416",
            "telephone_number": "956-415-7722",
            "fax_number": "210-450-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 E BUSTAMANTE ST OFC 1.1059",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415416",
            "telephone_number": "956-523-7413",
            "fax_number": "210-450-2419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4940 Charles Katz",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782291911",
            "country_code": "US",
            "telephone_number": "210-450-9948",
            "fax_number": "210-450-2139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "FERNANDO",
        "middle_name": "MANUEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "49027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.