ALYSSA NICOLE MANGAN-RETA DO
NPI 1891376596
Student in an Organized Health Care Education/Training Program in San Antonio, TX

Q: What is Alyssa Mangan-reta's NPI number?

The NPI number for Alyssa Mangan-reta is 1891376596. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Q: What is Alyssa Mangan-reta's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 15, 2021PECOS Enrolled

7703 FLOYD CURL DR, SAN ANTONIO, TX 78229(210) 567-7000 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2021, Apr 15, 2021 (2 updates tracked since 2021).

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About Alyssa Nicole Mangan-reta Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA NICOLE MANGAN-RETA DO (NPI 1891376596) is an individual student in an organized health care education/training program in San Antonio, Texas and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891376596

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALYSSA NICOLE MANGAN-RETACredential: DO

Location Address7703 FLOYD CURL DRSan Antonio, TX 78229-3901

Mailing Address7703 Floyd Curl DrSan Antonio, TX 78229-3901 · (210) 567-5300

Phone(210) 567-7000

Sole ProprietorNo

Enumeration DateApril 15, 2021

Last NPPES UpdateApril 19, 20212 updates tracked since enumeration

NPPES CertifiedApril 19, 2021

✔ NPI 1891376596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License BP10074275 (TX)

7703 FLOYD CURL DR, San Antonio, TX 78229

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Nicole Mangan-reta Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL TRAVIS HART CRNA

Nurse Anesthetist, Certified Registered