DR. PETER MICHAEL BAUTISTA MANGUBAT


Address: 3533 S Alameda St, Corpus Christi, TX 78411-1721
Phone: 3616945445

DR. PETER MICHAEL BAUTISTA MANGUBAT (NPI# 1235427998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235427998
Entity Type Individual
Full Name DR. PETER MICHAEL BAUTISTA MANGUBAT
Credential MD
Practice Address 3533 S Alameda St
Corpus Christi
TX 78411-1721
Practice Telephone 3616945445
Mailing Telephone 3616945445
Enumeration Date 2011-07-15
Last Update Date 2016-10-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics TRN16621 FL Allopathic & Osteopathic Physicians
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
R0230705 TX Allopathic & Osteopathic Physicians
N 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
ME113838 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 3533 S ALAMEDA ST
City CORPUS CHRISTI
State TX
Zip Code 78411-1721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558363671 Meera Gangadharan Anesthesiology 3533 S Alameda St, Corpus Christi, TX 78411-1721 2005-06-01
1629684816 Guyu Li Student in an Organized Health Care Education/Training Program 3533 S Alameda St, Corpus Christi, TX 78411-1721 2020-09-22
1972113579 Kenechukwu Okechukwu Aronu Pediatrics 3533 S Alameda St, Corpus Christi, TX 78411-1721 2020-08-07
1053939488 Obinna Chijindu Ubah Student in an Organized Health Care Education/Training Program 3533 S Alameda St, Corpus Christi, TX 78411-1721 2020-07-13
1952929861 Jordi Friese Student in an Organized Health Care Education/Training Program 3533 S Alameda St, Corpus Christi, TX 78411-1721 2020-07-07
1053936971 Alliskair Anibal Ortiz Clinic/Center 3533 S Alameda St, Corpus Christi, TX 78411-1721 2020-06-16
1811512767 Maria Alejandra Castillo Sanchez Student in an Organized Health Care Education/Training Program 3533 S Alameda St, Corpus Christi, TX 78411-1721 2020-06-16
1609490630 Kassandra Madore Audiologist 3533 S Alameda St, Corpus Christi, TX 78411-1721 2020-06-05
1982228607 Vera Whole Health Wa, PC Clinic/Center 3533 S Alameda St, Corpus Christi, TX 78411-1721 2020-05-29
1811510563 Jeffrey Joon Taek Lee Student in an Organized Health Care Education/Training Program 3533 S Alameda St, Corpus Christi, TX 78411-1721 2020-05-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487216032 Robert W. Galbreath Family Medicine 3515 S Alameda St, Corpus Christi, TX 78411 2019-07-03
1669952313 Maranda Deleon Physical Therapy Assistant 4406 Stonegate Way, Corpus Christi, TX 78411 2018-08-21
1730675257 Cns Diagnostics Incorporated Specialist/Technologist, Other 5262 South Staples, Ste. 211, Corpus Christi, TX 78411 2018-07-09
1750828257 Kerr Technical Services, LLC Technician 5262 S. Staples St., Suite 220, Corpus Christi, TX 78411 2017-01-23
1700337862 Rebekah Welty Audiologist 3533 Alameda St, Corpus Christi, TX 78411 2016-10-24
1518330059 Lilo Burda Counselor 321 Texan Trl Ste 220, Corpus Christi, TX 78411 2015-11-05
1730557182 Amy Luu Q.a. Mai Optometrist 5488 S. Padre Island Drive, Suite 2042, Corpus Christi, TX 78411 2015-09-02
1487030417 Luis Fuentes IIi General Practice 4818 Holly Rd Ste A, Corpus Christi, TX 78411 2015-07-31
1427430859 Saguaro Anesthesia Associates, P.a. Specialist 4646 Corona Drive Suite #256, Corpus Christi, TX 78411 2015-06-22
1306224605 Bonnie Lee Braglia Lpc-s,lmft,ccdvc Community/Behavioral Health 4659 Everhart Rd. Suite 109, Corpus Christi, TX 78411 2015-05-07
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Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932283678 Kevin Patrick Schooler Pediatrics 3533 S Alameda St, Corpus Christi, TX 78411-1721 2006-10-25
1760443451 John K Maher Pediatrics 3533 S Alameda St, Corpus Christi, TX 78411-1721 2006-03-31
1457312191 Ramon J Rivera Pediatrics 3533 S Alameda St, Corpus Christi, TX 78411-1721 2006-03-31
1952362105 Karl L Serrao Pediatrics 3533 S Alameda St, Corpus Christi, TX 78411-1721 2006-03-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093294654 Elva Linda Pereida Pediatrics 107 Palisades, Portland, TX 78374-4144 2018-08-14
1083156905 Pediatric Immediate Care of Texas, Pllc Pediatrics 3831 E League City Pkwy, Suite A, League City, TX 77573-7155 2016-11-09
1053730226 Jaime Conrado Silva Pediatrics 1911 Holcombe Blvd Apt 1326, Houston, TX 77030-4189 2014-04-15
1144574591 Amy Sharon Arrington Pediatrics 6621 Fannin, W6006, Houston, TX 77030 2012-11-07
1306118013 Corey Chartan Pediatrics One Baylor Plaza, Mail Stop W6-006, Pediatric Critical Care, Houston, TX 77070 2012-01-27
1306172945 Omar S Arrieta Pediatrics Scott & White 4 South Pedi Administration Rm 431, 2401 South 31st Street, Temple, TX 76508-0001 2009-11-01
1396971206 Kevin Matthew Roy Pediatrics 6621 Fannin Street, Wt6-006, Texas Children's Hospital, Pediatrics Intensive Care, Houston, TX 77030 2009-06-05
1609036342 Loay Y Abdulsamad Pediatrics 11322 Bucks Bridge Ln, Sugar Land, TX 77478-0915 2008-06-16
1396911715 Aarti C Bavare Pediatrics 6621 Fannin, Wt6-006, Houston, TX 77030 2008-05-06
1982726741 Terry Lee Furgiuele Pediatrics 4600 Ashville Pl, Amarillo, TX 79119-6452 2007-04-04
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Competitor

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City CORPUS CHRISTI
Zip Code 78411

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Dataset Information

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.

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