Active NPI
Paul R. Buitron, M.D., P.a.
- Otolaryngology Physician
- Laredo, TX
National Provider Identifier
1063793776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- F2182
- Legal business name
- PAUL R. BUITRON, M.D., P.A.
- Practice address
- 220 W. Hillside Rd. Suite 13
Laredo, TX 78041 - Phone
- (956) 724-1508
- Fax
- (956) 717-1041
- NPI assigned
- Sep 8, 2011
- 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
- Dr. Paul Raymond Buitron, M.D.
- Title
- Pres/Secretary
- Phone
- (956) 724-1508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | F2182 | TX | Primary |
Addresses
Primary practice location
220 W. Hillside Rd. Suite 13
Laredo, TX 78041
Mailing address
220 W. Hillside Rd Suite 13
Laredo, TX 78041
Phone (956) 724-1508
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099468301 | Medicaid | TX | |
| B31566 | Other | TX | BC/BS UPIN |
National Provider Directory
National Provider DirectoryLocations
220 W Hillside Rd
Ste 13
Laredo, TX 78041
Phone (956) 724-1508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315440000000",
"number": "1063793776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 W. HILLSIDE RD SUITE 13",
"city": "LAREDO",
"state": "TX",
"postal_code": "78041",
"telephone_number": "956-724-1508",
"fax_number": "956-717-1041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 W. HILLSIDE RD. SUITE 13",
"city": "LAREDO",
"state": "TX",
"postal_code": "78041",
"telephone_number": "956-724-1508",
"fax_number": "956-717-1041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL R. BUITRON, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-08",
"last_updated": "2011-09-08",
"status": "A",
"authorized_official_last_name": "BUITRON",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "RAYMOND",
"authorized_official_title_or_position": "PRES/SECRETARY",
"authorized_official_telephone_number": "956-724-1508",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "TX",
"license": "F2182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "099468301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS UPIN",
"identifier": "B31566",
"state": "TX"
}
],
"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 Sep 8, 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.