Provider Demographics
NPI:1861417800
Name:LEONIDES G. CIGARROA, JR., M.D., P.A.
Entity type:Organization
Organization Name:LEONIDES G. CIGARROA, JR., M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:Q
Authorized Official - Last Name:CIGARROA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-725-1228
Mailing Address - Street 1:1710 E SAUNDERS ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5443
Mailing Address - Country:US
Mailing Address - Phone:956-794-8720
Mailing Address - Fax:
Practice Address - Street 1:1710 E SAUNDERS ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5443
Practice Address - Country:US
Practice Address - Phone:956-725-1228
Practice Address - Fax:956-725-0833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4028207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG48932Medicare UPIN