Provider Demographics
NPI:1053312009
Name:AYRES, ROBERTO A (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:A
Last Name:AYRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 749
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-1614
Mailing Address - Country:US
Mailing Address - Phone:956-362-8275
Mailing Address - Fax:956-362-8281
Practice Address - Street 1:2821 MICHAELANGELO DR STE 303
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-1405
Practice Address - Country:US
Practice Address - Phone:956-362-8275
Practice Address - Fax:956-362-8281
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM38762080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX182383305Medicaid
TX182383304Medicaid