Organization Active NPI

Paul R. Buitron, M.D., P.a.

  • Otolaryngology Physician
  • Laredo, TX
National Provider Identifier
1063793776
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
F2182 Issued in TX
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

Updated by the provider on Sep 8, 2011

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
099468301MedicaidTX
B31566OtherTXBC/BS UPIN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.