Provider Demographics
NPI:1548231962
Name:ESPADA, ROBERTO ANGEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:ANGEL
Last Name:ESPADA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5920 SARATOGA BLVD
Mailing Address - Street 2:5920 SARATOGA BLVD, STE. 160
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-4103
Mailing Address - Country:US
Mailing Address - Phone:361-993-5597
Mailing Address - Fax:361-993-5551
Practice Address - Street 1:5920 SARATOGA BLVD
Practice Address - Street 2:5920 SARATOGA BLVD, STE. 160
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-4103
Practice Address - Country:US
Practice Address - Phone:361-993-5597
Practice Address - Fax:361-993-5551
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2014-06-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK5920207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080484101Medicaid
TXG77861Medicare UPIN
TX8D0026Medicare ID - Type Unspecified