Jesus S Pineda M.D.P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G7419 Issued in TX

Legal business name

JESUS S PINEDA M.D.P.A.

Practice address

201 W del Mar Blvd
7A
Laredo, TX 78041-2240

Phone

(956) 727-0849

Fax

(956) 712-2814

NPI assigned

Jun 27, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jesus S Pineda, M.D

Title

President

Phone

(956) 727-0849

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1013203124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10604 KIRBY DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780458471",
            "telephone_number": "956-727-0849",
            "fax_number": "956-712-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W DEL MAR BLVD",
            "address_2": "7A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412240",
            "telephone_number": "956-727-0849",
            "fax_number": "956-712-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESUS S PINEDA M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "PINEDA",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-727-0849",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G7419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135390604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.