Individual provider Active NPI

Juanita R Rodriguez, R.N.

  • Administrator Registered Nurse
  • Laredo, TX
National Provider Identifier
1861799835
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
578305 Issued in TX
Practice address
3316 Monclova Dr
Laredo, TX 78046-8787
Phone
(956) 726-9930
Fax
(956) 726-9935
NPI assigned
Feb 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 578305 TX Primary

Addresses

Primary practice location

3316 Monclova Dr
Laredo, TX 78046-8787

Mailing address

3316 Monclova Dr
Laredo, TX 78046-8787
Phone (956) 726-9930

Other names 1

  • Leonor Robles Other name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
578305TXMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Angels Primary Homecare 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.

NPI Registry JSON

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

{
    "created_epoch": "1298764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1861799835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 MONCLOVA DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780468787",
            "telephone_number": "956-726-9930",
            "fax_number": "956-726-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 MONCLOVA DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780468787",
            "telephone_number": "956-726-9930",
            "fax_number": "956-726-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JUANITA",
        "middle_name": "R",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-27",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "578305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEONOR",
            "last_name": "ROBLES",
            "credential": "R.N.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.