Individual provider Active NPI

Benjamin Joel Morales

  • Primary Care Clinic/Center
  • Zapata, TX
National Provider Identifier
1831976570
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
1131451 Issued in TX
Practice address
105 S US Highway 83
Zapata, TX 78076-3747
Phone
(956) 750-3429
NPI assigned
Sep 14, 2023
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 1131451 TX Primary

Addresses

Primary practice location

105 S US Highway 83
Zapata, TX 78076-3747

Mailing address

2011 Glenn St
Zapata, TX 78076-3613
Phone (956) 763-5410

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125001834 TX Practitioner - Nurse Practitioner 2961855028 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1131451TXMDPrimary Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Andres Garcia Zuniga MD PA CurrentSince Mar 30, 2025 Accepting new patients
Andres Garcia Zuniga, M.D.,PA CurrentSince Sep 5, 2024 Accepting new patients
Penn Patient Care, LLC CurrentSince Mar 8, 2025 Accepting new patients

Locations

6262 McPherson Rd
Ste 210
Laredo, TX 78041
Phone (956) 602-0371

6416 Polaris Dr
Ste 2
Laredo, TX 78041
Phone (956) 568-5140

105 S US Highway 83
Zapata, TX 78076
Phone (956) 728-8121

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1831976570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 GLENN ST",
            "city": "ZAPATA",
            "state": "TX",
            "postal_code": "780763613",
            "telephone_number": "956-763-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S US HIGHWAY 83",
            "city": "ZAPATA",
            "state": "TX",
            "postal_code": "780763747",
            "telephone_number": "956-750-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "BENJAMIN",
        "middle_name": "JOEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "1131451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zapata, TX

Sources for this page

Verify at the official NPI Registry.