MR. MANRIQUE FUENTES JR. (NPI# 1720364060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720364060 |
| Entity Type | Individual |
| Full Name | MR. MANRIQUE FUENTES JR. |
| Credential | RD, LD |
| Practice Address |
2525 N Veterans Blvd Eagle Pass TX 78852-3302 |
| Mailing Address |
3406 Bob Rogers Dr Ste 120 Eagle Pass TX 78852-5942 |
| Practice Telephone | 8307736963 |
| Practice Fax Number | 8307575746 |
| Mailing Telephone | 8307574900 |
| Mailing Fax Number | 8307574982 |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2018-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT81855 | TX | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TX STATE BOARD OF EXAMINERS OF DIETITIANS | DT81855 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3406 Bob Rogers Dr Ste 120, Eagle Pass, TX 788525942 | 8307574900 | 8307574982 |
| Street Address |
2525 N VETERANS BLVD |
| City | EAGLE PASS |
| State | TX |
| Zip Code | 78852-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980669 | United Medical Centers | Family Medicine | 2525 N Veterans Blvd, Eagle Pass, TX 78852-3302 | 2005-05-24 |
| 1144728379 | Nakul Satyendra | Dentist | 2525 N Veterans Blvd, Eagle Pass, TX 78852-3302 | 2018-01-23 |
| 1356870208 | Victor Hugo Cruz | Counselor | 2525 N Veterans Blvd, Eagle Pass, TX 78852-3302 | 2017-06-05 |
| 1982141677 | Penny M Garza | Nurse Practitioner | 2525 N Veterans Blvd, Eagle Pass, TX 78852-3302 | 2017-01-19 |
| 1710369384 | Ngoc Chau Vu | Dentist | 2525 N Veterans Blvd, Eagle Pass, TX 78852-3302 | 2015-06-19 |
| 1932464179 | Chapin Nathaniel Smith | Dentist | 2525 N Veterans Blvd, Eagle Pass, TX 78852-3302 | 2012-07-12 |
| 1558646893 | United Medical Center | Health Maintenance Organization | 2525 N Veterans Blvd, Eagle Pass, TX 78852-3302 | 2011-10-19 |
| 1104111624 | Gaston Ittay Zylberg | Pediatrics | 2525 N Veterans Blvd, Eagle Pass, TX 78852-3302 | 2011-06-13 |
| 1114227006 | Ana Rosa Chong | Physician Assistant | 2525 N Veterans Blvd, Eagle Pass, TX 78852-3302 | 2010-10-26 |
| 1598071680 | Poonam Vallabhbhai | Dentist | 2525 N Veterans Blvd, Eagle Pass, TX 78852-3302 | 2010-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782976 | Yariann Esther Rodriguez | Counselor | 2267 North Veteran Boulevard, Apt. 23, Eagle Pass, TX 78852 | 2020-02-12 |
| 1225688583 | Access Podiatry Center, LLC | Podiatrist | 2703 Stone Hedge, Eagle Pass, TX 78852 | 2019-09-18 |
| 1750944013 | Maria Liza Blessett | Physical Therapist | 1615 S Veterans Blvd, Eagle Pass, TX 78852 | 2019-04-22 |
| 1861055725 | Superior Plus Ambulance LLC | Ambulance | 2296 N Veterans Blvd, Eagle Pass, TX 78852 | 2019-04-17 |
| 1134685480 | Connoisseur Health Pros, LLC | Physical Therapy Assistant | 1615 S. Veterans Blvd., Eagle Pass, TX 78852 | 2019-02-12 |
| 1932601812 | Laura Rene Valdes | Speech-Language Pathologist | 300 Adams, Suite 7, Eagle Pass, TX 78852 | 2018-03-06 |
| 1861941494 | Eagle Pass Er LLC | Clinic/Center | 2114 N Veterans Blvd, Eagle Pass, TX 78852 | 2016-09-23 |
| 1285182600 | Eagle Pass II Enterprises, LLC | Skilled Nursing Facility | 3333 Bob Rogers Dr, Eagle Pass, TX 78852 | 2016-09-14 |
| 1063898278 | Lilia Irene Esquivel | Pharmacist | 2341 East Main St., Eagle Pass, TX 78852 | 2015-08-11 |
| 1700260494 | Cynthia Barrera | Pharmacist | 2341 East Main, Eagle Pass, TX 78852 | 2015-07-13 |
| Find all providers in zip 78852 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639528581 | Paul Skinner | Dietitian, Registered | 1925 N Veterans Blvd Apt 304, Eagle Pass, TX 78852-4467 | 2016-06-10 |
| 1285669051 | Pauline Anderson Greene | Dietitian, Registered | 350 S. Adams, Fort Duncan Regional Medical Center, Eagle Pass, TX 78852 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902637 | Allison Kleppe | Dietitian, Registered | 6255 Oram St Apt 106, Dallas, TX 75214-3985 | 2020-11-08 |
| 1326649088 | Mitzie Rojas | Dietitian, Registered | 1805 Aquarena Springs Dr Apt 505, San Marcos, TX 78666-8164 | 2020-11-07 |
| 1912507971 | Wendy Snowden | Dietitian, Registered | 11223 Kingsgate Dr, Austin, TX 78748-3435 | 2020-10-29 |
| 1720687718 | Jordan Wright | Dietitian, Registered | 2900 N Braeswood Blvd Apt 6204, Houston, TX 77025-2367 | 2020-10-20 |
| 1891393062 | Melanie Thomas | Dietitian, Registered | 4722 Pickridge Ct, Fresno, TX 77545-7529 | 2020-10-11 |
| 1073110318 | Mary Elizabeth Santarosa Mahoney | Dietitian, Registered | 1322 Cotulla Dr, Allen, TX 75013-4639 | 2020-10-08 |
| 1104423797 | Mariam Maaz Eid | Dietitian, Registered | 8421 Etienne Cv, Austin, TX 78759-8201 | 2020-10-06 |
| 1518564467 | Elizabeth Hill | Dietitian, Registered | 6500 Champion Grandview Way Apt 22105, Austin, TX 78750-8388 | 2020-10-05 |
| 1215534441 | Maryia Nassonova | Dietitian, Registered | 5740 Airport Fwy, Haltom City, TX 76117-6005 | 2020-10-01 |
| 1366049488 | Ifunanya Onyima | Dietitian, Registered | 2500 Marketplace Dr Apt 536, Waco, TX 76711-2440 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE PASS |
| Zip Code | 78852 |
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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.