NPIMap

Organization Active NPI

Vital Med Urgent Care LLC

  • Urgent Care Clinic/Center
  • Laredo, TX
National Provider Identifier
1922495951
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
M7208 Issued in TX
Legal business name
VITAL MED URGENT CARE LLC
Practice address
5711 McPherson Rd Ste 103
Laredo, TX 78041-6838
Phone
(956) 602-8595
Fax
(956) 602-8685
NPI assigned
Apr 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Gilberto Garza Lozano, M.D.NPI 1801006457
Title
M.D.
Phone
(956) 602-8595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X M7208 TX Primary

Addresses

Primary practice location

5711 McPherson Rd Ste 103
Laredo, TX 78041-6838

Mailing address

5711 McPherson Rd Ste 103
Laredo, TX 78041-6838
Phone (956) 602-8595

Other identifiers 1

IdentifierTypeStateIssuer
194686503MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151221002322 TX Part B Supplier - Clinic/Group Practice 0345541140 Receives reassigned benefits from 17 practitioners
Practice locations: Laredo, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2099174Vital Med Urgent Care LLC5711 McPherson Road, Suite 103, Laredo, TX 78041Certificate of waiverJul 20, 2027

National Provider Directory

National Provider Directory

Locations

3120 Pita Mangana Rd
Ste 100
Laredo, TX 78046
Phone (956) 568-1350

5711 McPherson Rd
Ste 103
Laredo, TX 78041
Phone (956) 568-1350

10901 International Blvd
Ste 200
Laredo, TX 78045
Phone 95660285952469

3120 Pita Mangana Rd
Laredo, TX 78046

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1922495951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 MCPHERSON RD STE 103",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416838",
            "telephone_number": "956-602-8595",
            "fax_number": "956-602-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 MCPHERSON RD STE 103",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416838",
            "telephone_number": "956-602-8595",
            "fax_number": "956-602-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL MED URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "GARZA LOZANO",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "956-602-8595",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "M7208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194686503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.