Provider Demographics
NPI:1710062237
Name:ROBERTO A AYRES MDPA
Entity Type:Organization
Organization Name:ROBERTO A AYRES MDPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:A
Authorized Official - Last Name:AYRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-688-5864
Mailing Address - Street 1:PO BOX 2945
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-2945
Mailing Address - Country:US
Mailing Address - Phone:956-688-5864
Mailing Address - Fax:
Practice Address - Street 1:1900 SOUTH JACKSON
Practice Address - Street 2:STE 7
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501
Practice Address - Country:US
Practice Address - Phone:956-688-5864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM38762080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric PulmonologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAX ID NUMBER