| Laredo Sports Medicine Clinic, Pa | |
|
7109 N Bartlett Ave Ste 109 Laredo TX 78041-6473 | |
| (956) 727-2122 | |
| (956) 727-4445 |
| Full Name | Laredo Sports Medicine Clinic, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 7109 N Bartlett Ave Ste 109, Laredo, Texas |
| Authorized Official Name and Position | John V Puig (OWNER) |
| Authorized Official Contact | 9567272122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laredo Sports Medicine Clinic, Pa 7109 N Bartlett Ave Ste 109 Laredo TX 78041-6473 Ph: (956) 727-2122 | Laredo Sports Medicine Clinic, Pa 7109 N Bartlett Ave Ste 109 Laredo TX 78041-6473 Ph: (956) 727-2122 |
| NPI Number | 1477675163 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 07/25/2023 |
| Medicare PECOS PAC ID | 4183719321 |
|---|---|
| Medicare Enrollment ID | O20071002000787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477675163 | NPI | - | NPPES |
| 0045KN | Other | TX | BCBS |
| 1591232-02 | Medicaid | TX |
| Provider Name | Ida G Gutierrez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346382215 PECOS PAC ID: 9133110802 Enrollment ID: I20040525001416 |
| Provider Name | John V Puig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598847402 PECOS PAC ID: 8820198591 Enrollment ID: I20070710000733 |
| Provider Name | Miguel A Solis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689865859 PECOS PAC ID: 3779671250 Enrollment ID: I20071116000305 |
| Provider Name | Marizel Diaz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154516904 PECOS PAC ID: 9830269810 Enrollment ID: I20080603000283 |
| Provider Name | Dinora A Flores |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902195886 PECOS PAC ID: 7315191517 Enrollment ID: I20130215000104 |
| Provider Name | Anish G Govind Radhakrishnan Potty |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902208440 PECOS PAC ID: 1254650336 Enrollment ID: I20150512002659 |
| Provider Name | Michael Wirsching |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1598119810 PECOS PAC ID: 6305105818 Enrollment ID: I20180710002139 |
| Provider Name | Armando Gonzalez |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1275914566 PECOS PAC ID: 7719279801 Enrollment ID: I20191021000040 |
| Provider Name | Eildar Abyar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750769170 PECOS PAC ID: 1658644760 Enrollment ID: I20200421000765 |
| Provider Name | Sandra K. Gomez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265058663 PECOS PAC ID: 6305260266 Enrollment ID: I20200724000433 |
| Provider Name | Ashley Marie Everett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043986052 PECOS PAC ID: 6305236910 Enrollment ID: I20211214000051 |
| Provider Name | Yogesh Kolwadkar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326327149 PECOS PAC ID: 0749415438 Enrollment ID: I20220603000857 |
| Provider Name | Mauricio Ruiz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518434026 PECOS PAC ID: 2668843038 Enrollment ID: I20230123000424 |
| Provider Name | Karina A Villarreal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194401570 PECOS PAC ID: 2668826165 Enrollment ID: I20231003001504 |
| Provider Name | Phillip R Langer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679512255 PECOS PAC ID: 2062415870 Enrollment ID: I20240305003862 |
Jesus S Pineda M.d.p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 W Del Mar Blvd, 7a, Laredo, TX 78041 Phone: 956-727-0849 Fax: 956-712-2814 | |
Clear Choice Laredo Hospital Physicians Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6406 Mcpherson Rd Ste 5, Laredo, TX 78041 Phone: 956-625-2730 | |
Andres Garcia Zuniga Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 Welby Ct, Laredo, TX 78041 Phone: 956-794-8840 Fax: 956-794-8844 | |
Gomez-vazquez Family Practice, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7210 Mcpherson Rd, Suite #115, Laredo, TX 78041 Phone: 956-722-8046 Fax: 956-722-8047 | |
Gateway Community Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 Pappas, Laredo, TX 78040 Phone: 956-795-8100 | |
Dr Ramon De La Torre Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 W Hillside Rd Ste 9, Laredo, TX 78041 Phone: 956-724-5656 Fax: 956-724-1344 | |
Gateway Community Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 Pappas St, Laredo, TX 78041 Phone: 956-795-8100 Fax: 956-795-8135 |