Provider Demographics
NPI:1245576917
Name:NEIRA, RICARDO A (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:A
Last Name:NEIRA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 S INTERNATIONAL BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:HIDALGO
Mailing Address - State:TX
Mailing Address - Zip Code:78557-2933
Mailing Address - Country:US
Mailing Address - Phone:956-843-7776
Mailing Address - Fax:956-843-7733
Practice Address - Street 1:601 S INTERNATIONAL BLVD STE A
Practice Address - Street 2:
Practice Address - City:HIDALGO
Practice Address - State:TX
Practice Address - Zip Code:78557-2933
Practice Address - Country:US
Practice Address - Phone:956-843-7776
Practice Address - Fax:956-843-7733
Is Sole Proprietor?:No
Enumeration Date:2012-12-27
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28589122300000X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No122300000XDental ProvidersDentist