Individual provider Active NPI

Aida Coronado Garcia, FNP-BC

  • Family Nurse Practitioner
  • Brownsville, TX
National Provider Identifier
1992131486
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP124095 Issued in TX
Practice address
4770 N Expressway Ste 305B
Brownsville, TX 78526-3110
Phone
(956) 621-1654
Fax
(956) 621-1829
NPI assigned
Sep 17, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 729584 TX
Family Nurse Practitioner 363LF0000X AP124095 TX Primary

Addresses

Primary practice location

4770 N Expressway Ste 305B
Brownsville, TX 78526-3110

Mailing address

PO Box 5358
McAllen, TX 78502-5358
Phone (956) 362-5673

Other identifiers 1

IdentifierTypeStateIssuer
350798004MedicaidTX

Other names 1

  • Mrs. Aida Garcia Professional name

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
I20140520000109 TX Practitioner - Nurse Practitioner 4688897648 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
729584TXMDFamily Nurse Practitioner
AP124095TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Bmi Family CurrentSince Jun 5, 2017 Accepting new patients
Renaissance Gastroenterology Family PastSince Jun 5, 2017 Accepting new patients

Locations

4770 N Expressway
#305B77
Brownsville, TX 78526
Phone (956) 362-5673

4770 N Expressway
Ste 305A
Brownsville, TX 78526
Phone (956) 362-3980

4770 N Expressway 77 83
Ste 303
Brownsville, TX 78526
Phone (956) 362-3715

5500 Raphael Dr
Edinburg, TX 78539
Phone (956) 362-5673

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

2795 Pharmacy Rd
Rio Grande Cy, TX 78582
Phone (956) 317-1485

505 Angelita Dr
Ste 14
Weslaco, TX 78599
Phone (956) 362-3720

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": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992131486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5358",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785025358",
            "telephone_number": "956-362-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 N EXPRESSWAY STE 305B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263110",
            "telephone_number": "956-621-1654",
            "fax_number": "956-621-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONADO GARCIA",
        "first_name": "AIDA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "729584",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP124095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350798004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIDA",
            "last_name": "GARCIA",
            "prefix": "MRS.",
            "credential": "FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.