P Praxis·MD
● Active Type 1 · Individual

MR. Manrique Fuentes JR., RD, LD

Dietitian, Registered·Eagle Pass, TX· NPI 1720364060 · Enumerated 2011 · 14 years on NPI
Fuentes is 1 of 3 dietitian, registered providers in Eagle Pass and 1 of 5402 in Texas.
NPI age
14 years
Enumerated 2011-11-01
Primary specialty
Dietitian, Registered
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-11-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5402 active dietitian, registered providers in Texas.

NPI age
14 years
↑ 8 yr above median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-11Enumerated in NPPES
2011 2026

Where they practice

Practice location
2525 N Veterans Blvd
Eagle Pass, TX 788523302
📞 8307736963fax 8307575746
Mailing address
3406 Bob Rogers Dr Ste 120
Eagle Pass, TX 788525942
📞 8307574900fax 8307574982

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3406 Bob Rogers Dr Ste 120
Eagle Pass, TX 788525942
📞 8307574900fax 8307574982

Specialties

  • Dietitian, Registered Primary
    A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...
    TX license #DT81855 taxonomy 133V00000X

Identifiers

TypeValueNotes
01 (TX) DT81855 TX STATE BOARD OF EXAMINERS OF DIETITIANS

Practice context

Part of a multi-provider practice. 26 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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