Organization Active NPI

Jaime a. Sued Mdpa

  • Interventional Pain Medicine Physician
  • Laredo, TX
National Provider Identifier
1396861720
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
K7108 Issued in TX
Legal business name
JAIME A. SUED MDPA
Practice address
7614 Rocio Dr
Laredo, TX 78041-6550
Phone
(956) 795-8393
Fax
(956) 795-8396
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Mrs. Norma Canno
Title
Administrator
Phone
(956) 795-8393

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X K7108 TX
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X K7108 TX Primary

Addresses

Primary practice location

7614 Rocio Dr
Laredo, TX 78041-6550

Mailing address

PO Box 450708
Laredo, TX 78045-0017
Phone (956) 795-8393

Other identifiers 1

IdentifierTypeStateIssuer
173626601MedicaidTX

National Provider Directory

National Provider Directory

Locations

3210 Jaime Zapata Memorial Hwy
Unit 4B
Laredo, TX 78043
Phone (959) 568-4697

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1396861720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450708",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780450017",
            "telephone_number": "956-795-8393",
            "fax_number": "956-795-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7614 ROCIO DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416550",
            "telephone_number": "956-795-8393",
            "fax_number": "956-795-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME A. SUED MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "CANNO",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-795-8393",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "K7108",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "K7108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173626601",
            "state": "TX"
        }
    ],
    "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 Jul 8, 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.