Individual provider Active NPI

Leticia R Cantu, FNP

  • Family Nurse Practitioner
  • Brownsville, TX
National Provider Identifier
1851739700
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
606093 Issued in TX
Practice address
4430 E 14TH St
Ste. a
Brownsville, TX 78521-3363
Phone
(956) 544-5557
Fax
(956) 544-5100
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 606093 TX Primary

Addresses

Primary practice location

4430 E 14TH St
Ste. a
Brownsville, TX 78521-3363

Mailing address

4430 E 14TH St
Ste. a
Brownsville, TX 78521-3363
Phone (956) 544-5557

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
I20191226001738 TX Practitioner - Nurse Practitioner 2264866391 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ronaldo D Factoriza,.M.D.P.a. CurrentSince Nov 27, 2019 Accepting new patients

Locations

680 Paredes Line Rd
Brownsville, TX 78521
Phone (956) 541-1322

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.

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1851739700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 E 14TH ST",
            "address_2": "STE. A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213363",
            "telephone_number": "956-544-5557",
            "fax_number": "956-544-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 E 14TH ST",
            "address_2": "STE. A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213363",
            "telephone_number": "956-544-5557",
            "fax_number": "956-544-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU",
        "first_name": "LETICIA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "606093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.