NPIMap

Organization Active NPI

Laredo Premier Healthcare, PLLC

  • Family Medicine Physician
  • Laredo, TX
National Provider Identifier
1467833509
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAREDO PREMIER HEALTHCARE, PLLC
Practice address
506 Gale St
Laredo, TX 78041-6003
Phone
(956) 724-9091
Fax
(956) 724-8213
NPI assigned
Jun 15, 2015
Last updated
Jun 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Dr. Luis Benavides, MDNPI 1780656686
Title
President
Phone
(956) 724-9091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Orthopaedic Surgery Physician 207X00000X NU

Addresses

Primary practice location

506 Gale St
Laredo, TX 78041-6003

Mailing address

7210 McPherson Rd
Suite 115
Laredo, TX 78041-6507
Phone (956) 722-8046

National Provider Directory

National Provider Directory

Locations

506 Gale St
Laredo, TX 78041
Phone (956) 724-9091

Practitioners & affiliated clinicians

Practitioners 6

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": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1467833509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 MCPHERSON RD",
            "address_2": "SUITE 115",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416507",
            "telephone_number": "956-722-8046",
            "fax_number": "956-722-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 GALE ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416003",
            "telephone_number": "956-724-9091",
            "fax_number": "956-724-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAREDO PREMIER HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "BENAVIDES",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-724-9091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 15, 2015; 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.