Active NPI
Jovannelly Zaragoza, DDS
- General Practice Dentistry
- Laredo, TX
National Provider Identifier
1821029331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22598
- Practice address
- 5904 West Dr Ste 9
Laredo, TX 78041-6029 - Phone
- (956) 726-9418
- Fax
- (956) 729-7654
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22598 | TX | Primary |
Addresses
Primary practice location
5904 West Dr Ste 9
Laredo, TX 78041-6029
Mailing address
5904 West Dr
Laredo, TX 78041-6047
Phone (956) 726-9418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22598 | Other | TX | TEXAS STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22598 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rolando a. Guerra , Jr. , D.D.S. , and Associates | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Laredo, TX
- NPI 1295860799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1821029331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5904 WEST DR",
"city": "LAREDO",
"state": "TX",
"postal_code": "780416047",
"telephone_number": "956-726-9418",
"fax_number": "956-726-7654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5904 WEST DR STE 9",
"city": "LAREDO",
"state": "TX",
"postal_code": "780416029",
"telephone_number": "956-726-9418",
"fax_number": "956-729-7654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARAGOZA",
"first_name": "JOVANNELLY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "22598",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE LICENSE",
"identifier": "22598",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.