Organization Active NPI

C Ricardo Estrada DO PA

  • Neurological Surgery Physician
  • Laredo, TX
National Provider Identifier
1053794735
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
K1427 Issued in TX
Legal business name
C RICARDO ESTRADA DO PA
Practice address
1710 E Saunders St Ste B270
Laredo, TX 78041-5448
Phone
(956) 568-2592
Fax
(956) 568-2631
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Carlos Ricardo Estrada, DO
Title
President
Phone
(956) 568-2592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X K1427 TX Primary

Addresses

Primary practice location

1710 E Saunders St Ste B270
Laredo, TX 78041-5448

Mailing address

PO Box 451470
Laredo, TX 78045-0036
Phone (956) 568-2592

National Provider Directory

National Provider Directory

Locations

1710 E Saunders St
Ste B270
Laredo, TX 78041
Phone (956) 568-2592

1605 E Del Mar Blvd
Ste 107
Laredo, TX 78041
Phone (956) 568-2592

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1053794735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451470",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780450036",
            "telephone_number": "956-568-2592",
            "fax_number": "956-568-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E SAUNDERS ST STE B270",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415448",
            "telephone_number": "956-568-2592",
            "fax_number": "956-568-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C RICARDO ESTRADA DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2022-10-14",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-568-2592",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "K1427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.