Provider Demographics
NPI:1437165073
Name:LAPUERTA, LEOPOLDO JR (MD)
Entity Type:Individual
Prefix:DR
First Name:LEOPOLDO
Middle Name:
Last Name:LAPUERTA
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2360 COUNTY ROAD 94
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584
Mailing Address - Country:US
Mailing Address - Phone:713-340-0990
Mailing Address - Fax:713-340-0991
Practice Address - Street 1:2360 COUNTY ROAD 94
Practice Address - Street 2:SUITE 104
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584
Practice Address - Country:US
Practice Address - Phone:713-340-0990
Practice Address - Fax:713-340-0991
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6365208200000X, 2086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX760580301OtherTAX ID
TX029716001Medicaid
TX029716001Medicaid
TX8D0224Medicare PIN
TXP00211574Medicare PIN