Organization Active NPI

Laredo Womens Center, P.a.

  • Obstetrics & Gynecology Physician
  • Laredo, TX
National Provider Identifier
1235219866
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
LAREDO WOMENS CENTER, P.A.
Practice address
1020 E Hillside Rd
Laredo, TX 78041-3287
Phone
(956) 727-7303
Fax
(956) 726-1224
NPI assigned
Oct 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Enrique F Benavides Jr., MD
Title
Owner
Phone
(956) 727-7303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

1020 E Hillside Rd
Laredo, TX 78041-3287

Mailing address

1020 E Hillside Rd
Laredo, TX 78041-3287
Phone (956) 727-7303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050610000542 TX Part B Supplier - Clinic/Group Practice 9830133867 Receives reassigned benefits from 3 practitioners
Practice locations: Laredo, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0701087Laredo Womens Center1020 E Hillside, Laredo, TX 78041Certificate of waiverJun 27, 2027

National Provider Directory

National Provider Directory

Locations

1020 E Hillside Rd
Laredo, TX 78041
Phone (956) 727-7303

Practitioners & affiliated clinicians

Practitioners 3

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235219866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E HILLSIDE RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413287",
            "telephone_number": "956-727-7303",
            "fax_number": "956-726-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E HILLSIDE RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413287",
            "telephone_number": "956-727-7303",
            "fax_number": "956-726-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAREDO WOMENS CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENAVIDES",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-727-7303",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.