Elite Therapeutic Specialists, LTD.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ELITE THERAPEUTIC SPECIALISTS, LTD.

Practice address

1020 Corpus Christi St
Laredo, TX 78040-5208

Phone

(956) 723-5700

Fax

(956) 723-5706

NPI assigned

Aug 12, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Elisa Susanna Druker, MA,CCC-SLP

Title

Owner/Administrator

Phone

(956) 723-5700

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1154600716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 CORPUS CHRISTI ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405208",
            "telephone_number": "956-723-5700",
            "fax_number": "956-723-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CORPUS CHRISTI ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405208",
            "telephone_number": "956-723-5700",
            "fax_number": "956-723-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE THERAPEUTIC SPECIALISTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "DRUKER",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "SUSANNA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "956-723-5700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• El Concilio Adult Day Care, Inc.
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• Reynaldo Elias Jr., INTERN
• Elite Ambulance Service LLC
• Eliud a Faz MD PA
• Eliud Acevedo MD P.L.L.C.
• Christina Lynn Elizondo, LVN
• Eduardo Javier Elizondo, SA
• Fatima Irasema Elizondo

• Clinic/Center in Laredo, TX
• Providers in Laredo, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.