Rosa Luz Landeros, APP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1166997 Issued in TX

Practice address

1701 Tournament Trail Dr
Laredo, TX 78041-6564

Phone

(956) 727-3422

NPI assigned

Jun 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Longevity Clinical LTC Associates of Texas, PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • San Antonio, TX
  • NPI 1720769698

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1861236622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 COMAL LOOP",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780466964",
            "telephone_number": "956-237-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 TOURNAMENT TRAIL DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416564",
            "telephone_number": "956-727-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDEROS",
        "first_name": "ROSA",
        "middle_name": "LUZ",
        "credential": "APP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1166997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratory Medicine Services PA
• Laguna Clinical Research Associates, LLC
• Lalita'S Ambulance Care LLC
• Claudia Yvette Landa
• Angelica Arabella Landeros
• Rizza Belloga Lao
• Adriana Clarisa Lara
• Becky Lara
• Irma A Lara, RNFNP
• Ivonne Lara

• All providers in Laredo, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.