NPIMap

Individual provider Active NPI

Victor Daniel Trevino, MD

  • Family Medicine Physician
  • Laredo, TX
National Provider Identifier
1982662029
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G7898 Issued in TX
Practice address
101 W Village Blvd
Laredo, TX 78041-2211
Phone
(956) 727-2997
Fax
(956) 727-3557
NPI assigned
May 1, 2006
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X G7898 TX
Prosthetic/Orthotic Supplier 335E00000X G7898 TX
Family Medicine Physician 207Q00000X G7898 TX Primary
Family Medicine Physician 207Q00000X 00011353 AL

Addresses

Primary practice location

101 W Village Blvd
Laredo, TX 78041-2211

Mailing address

101 W Village Blvd
Ste a
Laredo, TX 78041-2211
Phone (956) 727-2997

Other identifiers 1

IdentifierTypeStateIssuer
135108201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428000086 TX Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 9234178492 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tesoro Medical Care P.a.Group PAC ID 4183662927, 2 clinicians

Practice addresses (Care Compare)

101 W Village Blvd
Suite a
Laredo, TX 78041-2211
Phone (956) 727-2997

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00011353ALMDFamily Medicine Physician
G7898TXMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Bird Dog Pharma, LLC CurrentSince Nov 20, 2020 Accepting new patients
Turnkey Allergy Solutions, LLC Family Medicine CurrentSince Nov 20, 2020 Accepting new patients
City of Laredo CurrentSince Apr 1, 2014 Accepting new patients
Tesoro Medical Care P.a. Family Medicine CurrentSince Jan 1, 1998 Accepting new patients
City of Laredo CurrentSince Apr 1, 2014 Accepting new patients
Laredo Texas Hospital Company LP Past Accepting new patients
Uvalde County Hospital Authority Past Accepting new patients

Locations

12242 Queenston Blvd
Ste E
Houston, TX 77095
Phone (713) 252-3579

101 W Village Blvd
Laredo, TX 78041
Phone (210) 727-2997

101 W Village Blvd
#A
Laredo, TX 78041
Phone (713) 252-3579

2600 Cedar Ave
Laredo, TX 78040
Phone (956) 523-7500

Interoperability endpoints

  • Direct secure messaging: drtrevino@tmcp-tx.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1982662029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W VILLAGE BLVD",
            "address_2": "STE A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412211",
            "telephone_number": "956-727-2997",
            "fax_number": "956-727-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W VILLAGE BLVD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412211",
            "telephone_number": "956-727-2997",
            "fax_number": "956-727-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "VICTOR",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "G7898",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "G7898",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G7898",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00011353",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135108201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.