DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1821070194

NPI Code Detail

MEDICARE: RAFAEL A MANGUAL MD

MEDICARE: RAFAEL A MANGUAL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	L0395	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	08019173	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0010HX	OTHER	TX	BLUE CROSS BLUE SHIELD OF
4	H27087	OTHER	MO	MERCY HEALTH PLANS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821070194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAFAEL A MANGUAL MD

Provider Business Mailing Address
First Line	:	1515 PAPPAS ST
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78041-1705
Country	:	US
Telephone Number	:	956-795-8100
Fax Number	:	956-718-6294

Provider Business Practice Location Address
First Line	:	1515 PAPPAS ST
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78041-1705
Country	:	US
Telephone Number	:	956-795-8100
Fax Number	:	956-718-6294

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	12/03/2015

Similar Medicare Providers

1609861251 — PEDRO CASTANEDA JR. MD
Practice Location Address:

1515 PAPPAS ST
LAREDO, TX
78041-1705

Practice Phone: 956-795-8100
Practice Fax: 956-718-6294

1962431353 — MR. LUIS ALBERTO VALDEZ RN, MSN, FNP-BC
Practice Location Address:

1515 PAPPAS ST , LAREDO TEXAS 78041
LAREDO, TX
78041-1705

Practice Phone: 956-795-8100
Practice Fax: 956-718-6294

1417987801 — DR. MANUEL C. GONZALEZ DNP, APRN, FNP-BC
Practice Location Address:

1515 PAPPAS ST
LAREDO, TX
78041-1705

Practice Phone: 956-795-8100
Practice Fax: 956-718-6294

1386674745 — MS. MICHELLE GONZALEZ WHNP
Practice Location Address:

1515 PAPPAS ST
LAREDO, TX
78041-1705

Practice Phone: 956-795-8100
Practice Fax: 956-795-8135

1053341404 — MIGUEL A MADRIGAL PAC
Practice Location Address:

1515 PAPPAS ST
LAREDO, TX
78041-1705

Practice Phone: 956-795-8101
Practice Fax: 956-795-8135

1427088269 — DR. CLAUDIA CAVAZOS DDS
Practice Location Address:

1515 PAPPAS ST
LAREDO, TX
78041-1705

Practice Phone: 956-795-8100
Practice Fax: 956-718-6294

Directions to “ RAFAEL A MANGUAL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.