Active NPI
C Ricardo Estrada DO PA
- Neurological Surgery Physician
- Laredo, TX
National Provider Identifier
1053794735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- K1427
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 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 DirectoryLocations
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.
-
- Surgery Physician
- Laredo, TX
- NPI 1235247735
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.