Laredo Infiniti Homes LTD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT80558 Issued in TX

Legal business name

LAREDO INFINITI HOMES LTD

Doing business as

Beverly Hills Weight Loss & Wellness Clinic

Practice address

1205 E Hillside Rd
Ste a
Laredo, TX 78041-3319

Phone

(956) 712-4005

Fax

(956) 718-2386

NPI assigned

Aug 30, 2007

Last updated

Aug 30, 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

Mr. Jose R Medina

Title

Director

Phone

(956) 712-4005

Specialties & licenses 1

Addresses

Other names 1

• Beverly Hills Weight Loss & Wellness Clinic Doing business as

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1760676050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 E HILLSIDE RD",
            "address_2": "STE A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413319",
            "telephone_number": "956-712-4005",
            "fax_number": "956-718-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E HILLSIDE RD",
            "address_2": "STE A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413319",
            "telephone_number": "956-712-4005",
            "fax_number": "956-718-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAREDO INFINITI HOMES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "956-712-4005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT80558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Hills Weight Loss & Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Dietitian in Laredo, TX
• Providers in Laredo, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.