Ivan A Mederos is a Surgery in Laredo, Texas. Ivan A Mederos practices all healthcare services and medical treatments related to Surgery. The NPI Number for Ivan A Mederos is 1205809258. The last update date is 2020-09-16.
Ivan A Mederos's current location address is Po Box 450748, Laredo, Texas. You can contact this provider via phone number 9567958297 and fax number 9567948888. The mailing address for Ivan A Mederos is Po Box 450748, Laredo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivan A Mederos |
|---|---|
| Address | Po Box 450748, Laredo, Texas |
| Phone Number | 9567958297 |
| Fax Number | 9567948888 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1205809258 |
|---|---|
| Provider Enumeration Date | 2006-02-09 |
| Last Updated Date | 2020-09-16 |
Provider Mailing Address Detail
| Address | Po Box 450748 |
|---|---|
| City | Laredo |
| State | Texas (TX) |
| Post Code | 780450018 |
| Phone Number | 9567958297 |
| Fax Number | 9567948888 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | J7581 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 102583501 | TX | -- |
Post Comment/ Review Below
Could you kindly provide the complete physical address where Ivan A Mederos's facilities are geographically located?
The facilities of Ivan A Mederos are physically situated at the following location: Po Box 450748, Laredo, TX, 780450018.
What is Ivan A Mederos's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ivan A Mederos's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
On what date did Ivan A Mederos receive its 1205809258 assignment from the Centers for Medicare & Medicaid Services?
The Ivan A Mederos was assigned its 1205809258 on 2006-02-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Ivan A Mederos most recently updated or refreshed?
The details pertaining to the Ivan A Mederos, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-09-16.
As of what date was the information regarding Ivan A Mederos, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ivan A Mederos, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-09-16.
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