Dermatology Medical Center of South Texas, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

K9972 Issued in TX

Legal business name

DERMATOLOGY MEDICAL CENTER OF SOUTH TEXAS, PA

Practice address

2344 Laguna del Mar CT Ste 101
Laredo, TX 78045

Phone

(956) 729-7700

NPI assigned

Sep 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Nedil Aldarondo Antonini, MD FAAD

Title

Doctor

Phone

(956) 729-7700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1235566993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 LAGUNA DEL MAR CT STE 101",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780450059",
            "telephone_number": "956-729-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 LAGUNA DEL MAR CT STE 101",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78045",
            "telephone_number": "956-729-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY MEDICAL CENTER OF SOUTH TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "ANTONINI",
        "authorized_official_first_name": "NEDIL",
        "authorized_official_middle_name": "ALDARONDO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "956-729-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FAAD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K9972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Laredo, TX
• Providers in Laredo, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.