NPIMap

Organization Active NPI

Laredo Pediatrics & Neonatology PA

  • Pediatrics Physician
  • Laredo, TX
National Provider Identifier
1790973642
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
H5507 Issued in TX
Legal business name
LAREDO PEDIATRICS & NEONATOLOGY PA
Practice address
3507 Jaime Zapata Memorial Hwy
Suite 5
Laredo, TX 78043-4769
Phone
(956) 726-9252
Fax
(956) 753-3442
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Authorized official

Name
Francisco Javier Cervantes, MDNPI 1730135237
Title
Owner
Phone
(956) 726-9252

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X H5507 TX Primary

Addresses

Primary practice location

3507 Jaime Zapata Memorial Hwy
Suite 5
Laredo, TX 78043-4769

Mailing address

3507 Jaime Zapata Memorial Hwy
Suite 5
Laredo, TX 78043-4769
Phone (956) 726-9252

Other identifiers 3

IdentifierTypeStateIssuer
158072201MedicaidTX
158072202MedicaidTX
158072203MedicaidTX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0991077Laredo Pediatrics and Neonatology3507 Jaime Zapata Memorial Hwy, Suite 5, Laredo, TX 78043Certificate of waiverJan 31, 2027

National Provider Directory

National Provider Directory

Locations

3507 Jaime Zapata Memorial Hwy
Ste 5
Laredo, TX 78043
Phone (956) 726-9252

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1790973642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 JAIME ZAPATA MEMORIAL HWY",
            "address_2": "SUITE 5",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434769",
            "telephone_number": "956-726-9252",
            "fax_number": "956-753-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 JAIME ZAPATA MEMORIAL HWY",
            "address_2": "SUITE 5",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434769",
            "telephone_number": "956-726-9252",
            "fax_number": "956-753-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAREDO PEDIATRICS & NEONATOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-726-9252",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H5507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158072201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158072202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158072203",
            "state": "TX"
        }
    ],
    "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 Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.