Organization Active NPI

Laredo Cardiology Center

  • Cardiovascular Disease Physician
  • Laredo, TX
National Provider Identifier
1437330263
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L3390 Issued in TX
Legal business name
LAREDO CARDIOLOGY CENTER
Practice address
10710 McPherson Rd Ste 105
Laredo, TX 78045-6363
Phone
(956) 717-2328
Fax
(956) 717-2395
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Edwin R. Martinez, MD
Title
Physician
Phone
(956) 717-2328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X L3390 TX Primary

Addresses

Primary practice location

10710 McPherson Rd Ste 105
Laredo, TX 78045-6363

Mailing address

10710 McPherson Rd Ste 105
Laredo, TX 78045-6363
Phone (956) 717-2328

Other identifiers 1

IdentifierTypeStateIssuer
8F4950OtherTXBCBS OF TEXAS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1437330263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 MCPHERSON RD STE 105",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456363",
            "telephone_number": "956-717-2328",
            "fax_number": "956-717-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MCPHERSON RD STE 105",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456363",
            "telephone_number": "956-717-2328",
            "fax_number": "956-717-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAREDO CARDIOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "956-717-2328",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L3390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8F4950",
            "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 Apr 20, 2008; 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.