PEDRO DIAZ SANTANA (NPI# 1639177991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639177991 |
Entity Type | Individual |
Full Name | PEDRO DIAZ SANTANA |
Credential | MD |
Practice Address |
10710 Mcpherson Rd Suite # 105 Laredo TX 78045 |
Mailing Address |
10710 Mcpherson Rd Suite # 105 Laredo TX 78045-6271 |
Practice Telephone | 9567172328 |
Practice Fax Number | 9567172395 |
Mailing Telephone | 9567172328 |
Mailing Fax Number | 9567172395 |
Enumeration Date | 2005-07-11 |
Last Update Date | 2012-10-09 |
NPI Deactivation Date | 03/16/2006 |
NPI Reactivation Date | 2006-03-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
10030 | PR | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
N1305 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BLUE CROSS BLUES SHIELD | 0058RR | 01 |
DEA | BD4669581 | 01 |
Street Address |
10710 MCPHERSON RD SUITE # 105 |
City | LAREDO |
State | TX |
Zip Code | 78045 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386121093 | Christopher Berlioz Do Pa | Pediatrics | 10710 Mcpherson Rd, Suite 100, Laredo, TX 78045-6363 | 2018-07-25 |
1598213126 | Linda Segura Madrigal | Registered Nurse | 10710 Mcpherson Rd, Suite 101, Laredo, TX 78045-6271 | 2016-09-12 |
1659619260 | Laredo Physicians Group | Internal Medicine | 10710 Mcpherson Rd, Suite 300, Laredo, TX 78045-6271 | 2013-01-17 |
1891069415 | Alma S Kafati | Pharmacist | 10710 Mcpherson Rd, Suite 102, Laredo, TX 78045-6271 | 2012-02-29 |
1326349010 | Raymundo Alejandro Arredondo | Nurse Practitioner | 10710 Mcpherson Rd, # 101, Laredo, TX 78045-6271 | 2010-11-11 |
1891096657 | Texas Cardiac Arrhythmia | Internal Medicine | 10710 Mcpherson Rd, Suite 105, Laredo, TX 78045-6271 | 2010-11-10 |
1689822017 | Texas Cardiovascular Consultants, Pa | Internal Medicine | 10710 Mcpherson Rd, Ste. 105, Laredo, TX 78045-6271 | 2008-08-27 |
1942475017 | Kanuba Inc | Durable Medical Equipment & Medical Supplies | 10710 Mcpherson Rd, Ste 102, Laredo, TX 78045-6271 | 2008-04-29 |
1891969358 | Jose L Berlioz Md Pa | Pediatrics | 10710 Mcpherson Rd, Suite 101, Laredo, TX 78045-6363 | 2008-04-16 |
1093992877 | Roberto Villegas, Jr., M.d. Pediatrics, P.a. | Pediatrics | 10710 Mcpherson Rd, Suite 204, Laredo, TX 78045-6271 | 2008-01-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619592367 | Karlo Luebbert | Licensed Vocational Nurse | 302 Shiloh Dr, Apt 301 E, Laredo, TX 78045 | 2020-06-09 |
1093330607 | Paloma Blanca Provider Services, LLC | Technician | 1101 Shiloh Drive, # 3, Laredo, TX 78045 | 2020-06-09 |
1558829630 | Sylvia R. Lozano | Home Health | 1101 Shiloh Dr. #3, Laredo, TX 78045 | 2019-03-07 |
1275014565 | Trinity Center Open Mri | Clinic/Center | 1110 Marshall Street, Laredo, TX 78045 | 2018-08-24 |
1992204721 | Juanita Yvette Garcia | In Home Supportive Care | 1914 Port Edward Dr, Laredo, TX 78045 | 2018-02-07 |
1699297895 | Alpha Primary Care, LLC | Technician | 624 Forest Loop, Laredo, TX 78045 | 2017-07-10 |
1689073025 | Laredo Emergency Center LLC | Clinic/Center | 2502 Ne Bob Bullock Loop, Laredo, TX 78045 | 2014-08-21 |
1235566993 | Dermatology Medical Center of South Texas, Pa | Specialist | 2344 Laguna Del Mar Ct Ste 101, Laredo, TX 78045 | 2013-09-26 |
1225304173 | Mario Trevino | Community/Behavioral Health | 9002 Snowfalls Dr, Laredo, TX 78045 | 2012-03-26 |
1497043368 | Velma Claudia Quintana | Counselor | 511 Cambridge Lp, Laredo, TX 78045 | 2011-07-13 |
Find all providers in zip 78045 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
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1891251104 | Woodlands Elite Cardiology, Pllc | Internal Medicine | 150 Pine Forest Dr Ste 702, Shenandoah, TX 77384-5317 | 2019-02-12 |
1033684113 | Summit Heart and Vascular Pllc | Internal Medicine | 6138 Precinct Line Rd Ste 100, Hurst, TX 76054-2610 | 2018-10-04 |
1104329440 | Deerbrook Cath Lab LLC | Internal Medicine | 18450 Hwy 59 Suite 101, Humble, TX 77338 | 2018-03-13 |
1073015681 | Dfw Heart and Wellness Center, Pllc | Internal Medicine | 425 N Highland Ave Ste 220, Sherman, TX 75092-7383 | 2018-02-28 |
1346758695 | Cardiac Cin of North Texas | Internal Medicine | 6565 N Macarthur Blvd Ste 225c, Irving, TX 75039-2490 | 2018-01-19 |
1487162368 | Cardiac Cin of West Texas LLC | Internal Medicine | 18911c Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
1114435096 | Cardiac Cin of Austin LLC | Internal Medicine | 401 Congress Ave Ste 1540c, Austin, TX 78701-4071 | 2018-01-13 |
1275040925 | Prime Heart and Vascular, Pllc | Internal Medicine | 2633 Dallas Pkwy Ste 100, Plano, TX 75093-4715 | 2018-01-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.