Provider Demographics
NPI:1659673259
Name:ROBERTO J CANTU-LARA, M.D., P.A.
Entity Type:Organization
Organization Name:ROBERTO J CANTU-LARA, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING CLERK
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUNIGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-723-8224
Mailing Address - Street 1:702 GALVESTON ST
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040-4638
Mailing Address - Country:US
Mailing Address - Phone:956-723-8224
Mailing Address - Fax:956-723-3994
Practice Address - Street 1:702 GALVESTON ST
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-4638
Practice Address - Country:US
Practice Address - Phone:956-723-8224
Practice Address - Fax:956-723-3994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty