Provider Demographics
NPI:1578777181
Name:PRIETO-HARRIS, ROBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:
Last Name:PRIETO-HARRIS
Suffix:
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 1:4217 N MCCOLL RD STE 700
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4466
Mailing Address - Country:US
Mailing Address - Phone:956-627-0817
Mailing Address - Fax:956-627-0975
Practice Address - Street 1:4217 N MCCOLL RD STE 700
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4466
Practice Address - Country:US
Practice Address - Phone:956-627-0817
Practice Address - Fax:956-627-0975
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7539207VX0000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH08HQ24801OtherBCBS
TX187052903Medicaid
TX187052909Medicaid