Provider Demographics
NPI:1083226567
Name:EDANILI S LACAR MD PA
Entity Type:Organization
Organization Name:EDANILI S LACAR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VILMA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLEDO
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:956-668-1060
Mailing Address - Street 1:400 S BICENTENNIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-5199
Mailing Address - Country:US
Mailing Address - Phone:956-668-1060
Mailing Address - Fax:956-971-5078
Practice Address - Street 1:400 S BICENTENNIAL BLVD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-5199
Practice Address - Country:US
Practice Address - Phone:956-668-1060
Practice Address - Fax:956-971-5078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty