Organization
SAN ISIDRO MEDICAL CENTER PLLC
Active
Other names
San Isidro Medical Center PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAZIEL SILVA-GONZALEZ AUDIOLOGIST (AUTHORIZED OFFICIAL)
(956) 462-5848
Entity
Organization
Contact information
Practice address
10414 MEDICAL LOOP UNIT F, LAREDO, TX 78045-6612
(956) 462-5848
(956) 462-5866
Mailing address
10414 MEDICAL LOOP UNIT F, LAREDO, TX 78045-6612
(956) 462-5848
(956) 462-5866
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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