Del Mar Medical Center,PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G8037 Issued in TX

Legal business name

DEL MAR MEDICAL CENTER,PA

Practice address

313 W Village Blvd
104
Laredo, TX 78041-2275

Phone

(956) 727-0444

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Xavier Cantu, M.D.

Title

Physician

Phone

(956) 727-0444

Specialties & licenses 1

Addresses

Other names 1

• XAVIER CANTU M.D. Other name

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Portable X-ray supplier certification: CCN 45X0009937

Legal name

DEL MAR MEDICAL CENTER

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Apr 2, 2024

Last certification

Apr 1, 2024

Ownership / control type

Corporation

Facility address

313 West Village Ste 104
Laredo, TX 78041

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• R Xavier Cantu, M.D.

  • Family Medicine Physician
  • Laredo, TX
  • NPI 1578740270
  Medicare reassignment NPD

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1174665129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W VILLAGE BLVD STE 104",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412275",
            "telephone_number": "956-727-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W VILLAGE BLVD",
            "address_2": "104",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412275",
            "telephone_number": "956-727-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL MAR MEDICAL CENTER,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "956-727-0444",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "XAVIER CANTU M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Claudia Del Bosque, FNP
• Maribel Susana Del Bosque
• Mayra Del Bosque
• Del Mar Construction
• Del Mar Dental PLLC
• Del Norte Open MRI LLC
• Del Rio Therapy, P.C.
• Jennefer Del Rio, LPC
• Irene Delacqueseaux
• Lucero Delafuente, SLP

• Family Medicine Physician in Laredo, TX
• Providers in Laredo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.