GUSTAVO A. MANRIQUE (NPI# 1205132982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205132982 |
| Entity Type | Individual |
| Full Name | GUSTAVO A. MANRIQUE |
| Credential | LSA |
| Practice Address |
2131 Harold St Houston TX 77098-1401 |
| Practice Telephone | 7139009069 |
| Mailing Telephone | 7139009069 |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2015-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
SA00437 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2131 HAROLD ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77098-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427206200 | Lucia Saputelli | Physician Assistant | 2131 Harold St, Houston, TX 77098-1401 | 2008-09-04 |
| 1609221597 | Mansa Surgical LLC | Specialist/Technologist, Other | 2131 Harold St, Houston, TX 77098-1401 | 2016-04-28 |
| 1487087797 | Gynsurgical Assistants LLC | Specialist/Technologist, Other | 2131 Harold St, Houston, TX 77098-1401 | 2013-08-11 |
| 1871854034 | Medsurgical Group LLC | Physician Assistant | 2131 Harold St, Houston, TX 77098-1401 | 2012-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114570199 | Neurology Practice Group, Pllc | Clinic/Center | 2711 Ferndale Street, Houston, TX 77098 | 2019-07-19 |
| 1235685488 | Help Start Here & Consulting | Counselor | 2724 Kipling St Apt D132, Houston, TX 77098 | 2016-08-28 |
| 1578938635 | Jennifer Laurel Gardner | Social Worker | 3100 Richmond Ave Ste 403, Houston, TX 77098 | 2015-12-01 |
| 1861877813 | Emanuel Mugu Miano | Physical Therapist | 2121 Richmond Ave # 324, Houston, TX 77098 | 2015-07-20 |
| 1780061739 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2111 W Alabama St, Houston, TX 77098 | 2015-04-29 |
| 1538563770 | Amber Gay Fichtner | Physician Assistant | 2800 Kirby Drive Suite B212, Houston, TX 77098 | 2014-10-17 |
| 1356754246 | Elline Callner | Occupational Therapist | 3120 Southwest Freeway, Suite 612, Houston, TX 77098 | 2014-06-09 |
| 1316366420 | Rinnovare Home Dialysis | Home Health | 2800 Kirby Drive Suite B513, Houston, TX 77098 | 2014-04-16 |
| 1831514199 | Pediatric Home Healthcare | Home Health | 3120 Southwest Fwy Ste 227, Houston, TX 77098 | 2014-02-24 |
| 1295164523 | Shang-jin Shi | Acupuncturist | 1906 West Alabama Street, Houston, TX 77098 | 2013-11-07 |
| Find all providers in zip 77098 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
| 1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
| 1619526563 | Uma Surgical Assistant Services, LLC. | Physician Assistant | 4517 Benning Dr, Houston, TX 77035-6005 | 2019-09-04 |
| 1417503467 | Superior Surgical Services, LLC | Physician Assistant | 5527 Yorkwood St, Houston, TX 77016 | 2019-08-15 |
| 1760940753 | Charles Patrick Clark | Physician Assistant | 6621 Fannin St, Houston, Houston, TX 77030 | 2019-03-08 |
| 1558829598 | Charlotte Peeters | Physician Assistant | 6621 Fannin St Ste D0600.33, Houston, TX 77030-2358 | 2019-03-08 |
| 1689148702 | Erin Danielle Schulte | Physician Assistant | 3 Hermann Museum Circle Dr Apt 4414, Houston, TX 77004-7969 | 2019-01-12 |
| 1972074532 | Nationwide Surgical Resources LLC | Physician Assistant | 7600 Burgoyne Rd Unit 207, Houston, TX 77063-3104 | 2018-12-07 |
| 1891264446 | Taylor K Rubin | Physician Assistant | 1140 Business Center Dr Ste 101, Houston, TX 77043-2740 | 2018-11-13 |
| 1679049522 | Jacob Paul Landry | Physician Assistant | 18108 S Parkview Dr Apt I17, Houston, TX 77084-6578 | 2018-10-18 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.