Provider Demographics
NPI:1669574927
Name:ALDO H. ALEGRIA MD, PA
Entity type:Organization
Organization Name:ALDO H. ALEGRIA MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALDO
Authorized Official - Middle Name:H
Authorized Official - Last Name:ALEGRIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-424-3500
Mailing Address - Street 1:315 N PALMVIEW DR
Mailing Address - Street 2:SUITE 6
Mailing Address - City:PALMVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:78572-8735
Mailing Address - Country:US
Mailing Address - Phone:956-424-3500
Mailing Address - Fax:956-585-3281
Practice Address - Street 1:315 N PALMVIEW DR
Practice Address - Street 2:SUITE 6
Practice Address - City:PALMVIEW
Practice Address - State:TX
Practice Address - Zip Code:78572-8735
Practice Address - Country:US
Practice Address - Phone:956-424-3500
Practice Address - Fax:956-585-3281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9507208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00EC14OtherBCBS
TX156127601Medicaid
B21710Medicare UPIN