| Ruben D Bocanegra Md Pa | |
|
4151 Jaime Zapata Memorial Hwy Ste 101-b Laredo TX 78043-4741 | |
| (956) 724-2800 | |
| (956) 724-4167 |
| Full Name | Ruben D Bocanegra Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4151 Jaime Zapata Memorial Hwy, Laredo, Texas |
| Authorized Official Name and Position | Ruben D Bocanegra (OWNER) |
| Authorized Official Contact | 9567242800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruben D Bocanegra Md Pa 4151 Jaime Zapata Memorial Hwy Ste 101-b Laredo TX 78043-4741 Ph: (956) 724-2800 | Ruben D Bocanegra Md Pa 4151 Jaime Zapata Memorial Hwy Ste 101-b Laredo TX 78043-4741 Ph: (956) 724-2800 |
| NPI Number | 1164581609 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 04/29/2022 |
| Medicare PECOS PAC ID | 6800879420 |
|---|---|
| Medicare Enrollment ID | O20040612000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164581609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J8919 (Texas) | Primary |
| Provider Name | Ruben D Bocanegra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205820602 PECOS PAC ID: 2365422870 Enrollment ID: I20040724000105 |
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