Organization Active NPI

Tesoro Medical Care P.a.

  • Family Medicine Physician
  • Laredo, TX
National Provider Identifier
1841471463
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TESORO MEDICAL CARE P.A.
Practice address
101 W Village Blvd Ste a
Laredo, TX 78041-2211
Phone
(956) 727-2997
Fax
(956) 727-3557
NPI assigned
Nov 26, 2007
Last updated
Jan 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Dr. Victor Daniel Trevino, M.D.NPI 1982662029
Title
President
Phone
(956) 727-2997

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X G7898 TX
Prosthetic/Orthotic Supplier 335E00000X G7898 TX

Addresses

Primary practice location

101 W Village Blvd Ste a
Laredo, TX 78041-2211

Mailing address

101 W Village Blvd Ste a
Laredo, TX 78041-2211
Phone (956) 727-2997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050421000566 TX Part B Supplier - Clinic/Group Practice 4183662927 Receives reassigned benefits from 2 practitioners
Practice locations: Laredo, TX
O20250430003050 TX DME Supplier - Physician - Family Practice 4183662927 Practice locations: Laredo, TX

National Provider Directory

National Provider Directory

Locations

101 W Village Blvd
Laredo, TX 78041
Phone (312) 320-3138

101 W Village Blvd
#A
Laredo, TX 78041
Phone (713) 252-3579

Practitioners & affiliated clinicians

Practitioners 3

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": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1841471463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W VILLAGE BLVD STE A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412211",
            "telephone_number": "956-727-2997",
            "fax_number": "956-727-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W VILLAGE BLVD STE A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412211",
            "telephone_number": "956-727-2997",
            "fax_number": "956-727-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESORO MEDICAL CARE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-727-2997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "G7898",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "G7898",
            "primary": false
        }
    ],
    "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 Jan 24, 2024; 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.