Corazon Ledesma Llarena, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G8544 Issued in TX

Practice address

10611 Garland Rd
Suite 114
Dallas, TX 75218-2666

Phone

(214) 321-4231

Fax

(214) 327-1684

NPI assigned

Jun 4, 2006

Last updated

Jul 22, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Revive Health

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1114643285
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1689612061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10611 GARLAND RD",
            "address_2": "SUITE 114",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182666",
            "telephone_number": "214-321-4231",
            "fax_number": "214-327-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10611 GARLAND RD",
            "address_2": "SUITE 114",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182666",
            "telephone_number": "214-321-4231",
            "fax_number": "214-327-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLARENA",
        "first_name": "CORAZON",
        "middle_name": "LEDESMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G8544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00GP64",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033647101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• LL Dental PLLC
• Elizabeth Llamas, M.ED. BCBA
• Luis Leopoldo Llamas, MD
• Cristian Antony Llanes
• Ernesto Manuel Llano, M.D.
• Carmen E Llauger-Mier, M.D.
• Lawrence Edward Llewellyn Jr.
• Sarah Ashley Llewellyn
• Lloyd Counseling & Consulting PLLC
• Aaron Thomas Lloyd, MD

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.