MEDICARE: DR. ROBERTO PRIETO-HARRIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VX0000X	Obstetrics Physician	M7539	TX
2	207V00000X	Obstetrics & Gynecology Physician	M7539	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	H08HQ24801	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578777181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERTO PRIETO-HARRIS M.D.

Provider Business Mailing Address
First Line	:	4217 N MCCOLL RD STE 700
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-4466
Country	:	US
Telephone Number	:	956-627-0817
Fax Number	:	956-627-0975

Provider Business Practice Location Address
First Line	:	4217 N MCCOLL RD STE 700
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-4466
Country	:	US
Telephone Number	:	956-627-0817
Fax Number	:	956-627-0975

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	05/14/2020

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Directions to “ DR. ROBERTO PRIETO-HARRIS M.D.” Practice Location

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