Organization Active NPI

Raul Ernesto Loaisiga MD PA

Doing business as Loaisiga Childrens Clinic

  • Pediatrics Physician
  • Brownsville, TX
National Provider Identifier
1114162492
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L0383 Issued in TX
Legal business name
RAUL ERNESTO LOAISIGA MD PA
Doing business as
Loaisiga Childrens Clinic
Practice address
4770 N Expressway # 7783
Ste 206
Brownsville, TX 78526-4120
Phone
(956) 350-5500
Fax
(956) 350-4965
NPI assigned
Dec 15, 2008
Last updated
May 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Dr. Raul Ernesto Loaisiga, MDNPI 1235132796
Title
President
Phone
(956) 350-5500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L0383 TX Primary

Addresses

Primary practice location

4770 N Expressway # 7783
Ste 206
Brownsville, TX 78526-4120

Mailing address

4770 N Expressway
Ste. 206
Brownsville, TX 78526-4165
Phone (956) 350-5500

Other identifiers 1

IdentifierTypeStateIssuer
198528501MedicaidTX

Other names 1

  • LOAISIGA CHILDRENS CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

4770 N Expressway
Ste 206
Brownsville, TX 78526
Phone (956) 350-5500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1114162492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 N EXPRESSWAY",
            "address_2": "STE. 206",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264165",
            "telephone_number": "956-350-5500",
            "fax_number": "956-350-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 N EXPRESSWAY # 7783",
            "address_2": "STE 206",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264120",
            "telephone_number": "956-350-5500",
            "fax_number": "956-350-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL ERNESTO LOAISIGA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "LOAISIGA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-350-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L0383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198528501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOAISIGA CHILDRENS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.