Manuel G Guajardo, M.D., P.A.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G5128 Issued in TX

Practice address

301 Lorenaly Drive
Suite E
Brownsville, TX 78526-4446

Phone

(956) 350-5007

Fax

(956) 350-0945

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1780734699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LORENALY DRIVE",
            "address_2": "SUITE E",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264446",
            "telephone_number": "956-350-5007",
            "fax_number": "956-350-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LORENALY DRIVE",
            "address_2": "SUITE E",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264446",
            "telephone_number": "956-350-5007",
            "fax_number": "956-350-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAJARDO",
        "first_name": "MANUEL",
        "middle_name": "G",
        "credential": "M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "G5128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084800401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David James Grenn, LPC, NCC, CADC
• Beathia Alexandria Grimaldo-Anes
• Liwayway Bautista Guadalquiver, FNP
• Guadalupe Davila, M.D., P.a.
• Juan G Guajardo, M.D.
• Clarissa Gudino, PA-C
• Jesus Guereca
• Carolina Guerra Briseno
• Clarisa Guerra, SLPA
• Ismael Guerra Jr., DNP FNPC

• Obstetrics & Gynecology Physician in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.