Organization Active NPI

Laredo Advanced Wound Care PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Laredo, TX
National Provider Identifier
1700770708
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
LAREDO ADVANCED WOUND CARE PLLC
Practice address
220 W Hillside Rd Ste 9
Laredo, TX 78041-6903
Phone
(956) 724-5656
Fax
(956) 724-1344
NPI assigned
Jun 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Ramon De la Torre, MDNPI 1114271699
Title
Owner
Phone
(956) 724-5656

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

220 W Hillside Rd Ste 9
Laredo, TX 78041-6903

Mailing address

220 W Hillside Rd Ste 9
Laredo, TX 78041-6903
Phone (956) 724-5656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250623003679 TX Part B Supplier - Clinic/Group Practice 3971015280 Receives reassigned benefits from 1 practitioner
Practice locations: Laredo, TX

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, 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": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1700770708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W HILLSIDE RD STE 9",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416903",
            "telephone_number": "956-724-5656",
            "fax_number": "956-724-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W HILLSIDE RD STE 9",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416903",
            "telephone_number": "956-724-5656",
            "fax_number": "956-724-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAREDO ADVANCED WOUND CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "DE LA TORRE",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-724-5656",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.