Dermatology Specialists of Laredo PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

K9972 Issued in TX

Legal business name

DERMATOLOGY SPECIALISTS OF LAREDO PA

Practice address

2344 Laguna del Mar Court
Suite 101
Laredo, TX 78045

Phone

(956) 729-7700

Fax

(956) 729-7779

NPI assigned

Sep 20, 2006

Last updated

Dec 5, 2007By the provider in NPPES

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, MDNPI 1649450172

Title

Physician

Phone

(956) 729-7700

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Nedil Aldarondo-Antonini, M.D.

  • Dermatology Physician
  • Fenton, MI
  • NPI 1649450172
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1528165404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452409",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78045",
            "telephone_number": "956-729-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 LAGUNA DEL MAR COURT",
            "address_2": "SUITE 101",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78045",
            "telephone_number": "956-729-7700",
            "fax_number": "956-729-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY SPECIALISTS OF LAREDO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "ALDARONDO-ANTONINI",
        "authorized_official_first_name": "NEDIL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "956-729-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "K9972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "8H9860",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P00116091",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dentistry of Brownsville, PC (Elstar Dental)
• Dentistry of Brownsville, PC (Kool Smiles)
• Dept of Assistive & Rehab Serv - Laredo Field Office
• Derma Medical of Laredo, LLC
• Dermatology Medical Center of South Texas, PA
• Ashley Kaylynn Dew, PA
• Dguez Solution
• Di and Dre Therapy, PLLC (Therapeutic Specialists of Laredo)
• Patsy Margarita Diaz Delgado
• Pedro Diaz Santana, MD

• Dermatology Physician in Laredo, TX
• Providers in Laredo, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.