Provider Demographics
NPI:1598845679
Name:RACHE PA
Entity Type:Organization
Organization Name:RACHE PA
Other - Org Name:ASUNCION G. RAMOS-SORIANO MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AO
Authorized Official - Prefix:
Authorized Official - First Name:ASUNCION
Authorized Official - Middle Name:GUECO
Authorized Official - Last Name:RAMOS-SORIANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-795-8366
Mailing Address - Street 1:PO BOX 2870
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78044-2870
Mailing Address - Country:US
Mailing Address - Phone:956-795-8366
Mailing Address - Fax:956-795-8367
Practice Address - Street 1:1710 E SAUNDERS ST STE B380
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5443
Practice Address - Country:US
Practice Address - Phone:956-795-8366
Practice Address - Fax:956-795-8367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK10112080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric GastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX151388904Medicaid
TXG21258Medicare UPIN