Individual provider Active NPI

Arcenio Coreas, FNP

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1881063717
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128365 Issued in TX
Practice address
3507 Jaime Zapata Memorial Hwy Ste 5
Laredo, TX 78043-4770
Phone
(956) 726-9252
Fax
(956) 753-3442
NPI assigned
Sep 22, 2015
Last updated
Sep 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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 AP128365 TX Primary

Addresses

Primary practice location

3507 Jaime Zapata Memorial Hwy Ste 5
Laredo, TX 78043-4770

Mailing address

3507 Jaime Zapata Memorial Hwy Ste 5
Laredo, TX 78043-4770
Phone (956) 726-9252

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
I20210414001863 TX Practitioner - Nurse Practitioner 5294143137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

1111 SE Military Dr
San Antonio, TX 78214-2801
Phone (210) 927-5580

11811 Blanco Rd
San Antonio, TX 78216-2407
Phone (210) 341-5588

13722 Embassy Row
San Antonio, TX 78216-2000
Phone (726) 207-3656

23611W Interstate 10
San Antonio, TX 78257-1694
Phone (210) 698-6617

6570 Ingram Rd
San Antonio, TX 78238-3900
Phone (210) 520-5588

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP128365TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC CurrentSince Jul 5, 2023 Accepting new patients
TMC Provider Group PLLC CurrentSince Jul 5, 2023 Accepting new patients
Oscar Benavides MD PA Past Accepting new patients
Laredo Pediatrics & Neonatology PA Past Accepting new patients

Locations

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

Organizations & group practices 4

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": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1881063717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 JAIME ZAPATA MEMORIAL HWY STE 5",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434770",
            "telephone_number": "956-726-9252",
            "fax_number": "956-753-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 JAIME ZAPATA MEMORIAL HWY STE 5",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434770",
            "telephone_number": "956-726-9252",
            "fax_number": "956-753-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREAS",
        "first_name": "ARCENIO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-22",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.