Individual provider Active NPI

Rosa Veronica Manrique, M.D.

  • Family Medicine Physician
  • Raymondville, TX
National Provider Identifier
1811329493
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TX0124 Issued in TX
Practice address
646 S Expressway 77
Raymondville, TX 78580-4239
Phone
(956) 690-4012
Fax
(956) 690-4026
NPI assigned
Aug 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 020996 PR
Family Medicine Physician 207Q00000X TX0124 TX Primary

Addresses

Primary practice location

646 S Expressway 77
Raymondville, TX 78580-4239

Mailing address

122 W John Carpenter Fwy Ste 420
Irving, TX 75039-2014
Phone (972) 957-3000

Other practice location 1

101 S Broadway St
Elsa, TX 78543
Phone (956) 262-1304

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
I20171011002309 TX Practitioner - Family Practice 7315171584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Donna Medical Clinic, PLLCGroup PAC ID 1153216734, 35 clinicians

Practice addresses (Care Compare)

307 N D Salinas Blvd
Donna, TX 78537-2929
Phone (956) 464-2402

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TX0124TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Donna Medical Clinic, PLLC Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Aha Family Clinic, PLLC Family Medicine PastSince Apr 13, 2025 Accepting new patients

Locations

307 N Salinas Blvd
Donna, TX 78537
Phone (956) 464-2402

2010 E Business Highway 83
Donna, TX 78537
Phone (956) 461-6666

646 S Expressway 77
Raymondville, TX 78580
Phone (956) 690-4012

Organizations & group practices 2

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 4

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": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1811329493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W JOHN CARPENTER FWY STE 420",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392014",
            "telephone_number": "972-957-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 S EXPRESSWAY 77",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785804239",
            "telephone_number": "956-690-4012",
            "fax_number": "956-690-4026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Elsa",
            "state": "TX",
            "postal_code": "78543",
            "country_code": "US",
            "telephone_number": "956-262-1304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANRIQUE",
        "first_name": "ROSA",
        "middle_name": "VERONICA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "020996",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "TX0124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymondville, TX

Sources for this page

Verify at the official NPI Registry.