Provider Demographics
NPI:1407852494
Name:CIGARROA, LEONIDES G JR (MD)
Entity Type:Individual
Prefix:DR
First Name:LEONIDES
Middle Name:G
Last Name:CIGARROA
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1710 E SAUNDERS ST
Mailing Address - Street 2:TOWER B 5TH FLOOR
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5443
Mailing Address - Country:US
Mailing Address - Phone:956-725-1228
Mailing Address - Fax:956-725-0833
Practice Address - Street 1:1710 E SAUNDERS ST
Practice Address - Street 2:TOWER B 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
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2011-10-06
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Provider Licenses
StateLicense IDTaxonomies
TX01046659A207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG48932Medicare UPIN