Provider Demographics
NPI:1942856125
Name:CIGARROA INTERVENTIONAL OBL LLC
Entity Type:Organization
Organization Name:CIGARROA INTERVENTIONAL OBL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:SUZAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SATTLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-251-5741
Mailing Address - Street 1:7105 N BARTLETT AVE
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6465
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7105 N BARTLETT AVE
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6465
Practice Address - Country:US
Practice Address - Phone:965-235-2609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty