Individual
PEDRO DIAZ SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10710 MCPHERSON RD, SUITE # 105, LAREDO, TX 78045
(956) 717-2328
(956) 717-2395
Mailing address
10710 MCPHERSON RD, SUITE # 105, LAREDO, TX 78045-6271
(956) 717-2328
(956) 717-2395
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
10030
PR
207RI0011X
Interventional Cardiology Physician
Primary
N1305
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058RR
BLUE CROSS BLUES SHIELD
TX
Enumeration date
07/11/2005
Last updated
03/07/2023
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