Active NPI
Carlos Manrique de Lara Mdpa
- Ophthalmology Physician
- Edinburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- CARLOS MANRIQUE DE LARA MDPA
- Practice address
- 2518 W Trenton Rd
Edinburg, TX 78539-8070 - Phone
- (956) 661-9000
- Fax
- (956) 686-7833
- NPI assigned
- Feb 17, 2006
- 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
- Dr. Carlos Manrique de Lara, MD
- Title
- Medical Director
- Phone
- (956) 661-9000
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
2518 W Trenton Rd
Edinburg, TX 78539-8070
Mailing address
2518 W Trenton Rd
Edinburg, TX 78539-8070
Phone (956) 661-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173356002 | Medicaid | TX |
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 |
|---|---|---|---|
| 45D2055713 | Carlos Manrique de Lara MD PA | Certificate of waiver | Mar 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
2502 Cornerstone Blvd
Edinburg, TX 78539
Phone (956) 661-9000
5505 S Expressway 77
Ste 105
Harlingen, TX 78550
15900 La Cantera Pkwy
Ste 20115
San Antonio, TX 78256
Phone (210) 354-2020
15900 La Cantera Pkwy
Ste 20215
San Antonio, TX 78256
Phone (210) 354-2020
21019 US Highway 281 N
San Antonio, TX 78258
9595 Six Pines Dr
The Woodlands, TX 77380
Phone (281) 292-3962
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Edinburg, TX
- NPI 1699740324
-
- Optometrist
- McAllen, TX
- NPI 1548390727
-
- Optometrist
- San Antonio, TX
- NPI 1609751015
-
- Optometrist
- Edinburg, TX
- NPI 1871147991
-
- Optometrist
- San Antonio, TX
- NPI 1134275761
-
- Ophthalmology Physician
- Edinburg, TX
- NPI 1508802877
-
- Optometrist
- Harlingen, TX
- NPI 1932284858
-
- Optometrist
- Edinburg, TX
- NPI 1932620382
-
- Optometrist
- San Antonio, TX
- NPI 1679914725
-
- Optometrist
- Houston, TX
- NPI 1164793410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213056000000",
"number": "1770558447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": {
"organization_name": "CARLOS MANRIQUE DE LARA MDPA",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-17",
"last_updated": "2008-06-10",
"status": "A",
"authorized_official_last_name": "MANRIQUE DE LARA",
"authorized_official_first_name": "CARLOS",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "956-661-9000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173356002",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.