Provider Demographics
NPI:1245038066
Name:LONGORIA, MANUELA RODRIGUEZ (RN)
Entity type:Individual
Prefix:MRS
First Name:MANUELA
Middle Name:RODRIGUEZ
Last Name:LONGORIA
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7722 RED HILL PL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-2247
Mailing Address - Country:US
Mailing Address - Phone:210-324-7464
Mailing Address - Fax:
Practice Address - Street 1:7722 RED HILL PL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-2247
Practice Address - Country:US
Practice Address - Phone:210-324-7464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX756674163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management