Healthcare Provider Details

I. General information

NPI: 1801710199
Provider Name (Legal Business Name): OPTIMAL CARE S LAREDO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 RIVERHILL DR
LAREDO TX
78046-6578
US

IV. Provider business mailing address

315 CALLE DEL NORTE STE 201
LAREDO TX
78041-5961
US

V. Phone/Fax

Practice location:
  • Phone: 956-635-2397
  • Fax:
Mailing address:
  • Phone: 956-722-0933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. RIGOBERTO LOPEZ
Title or Position: EXECUTIVE VICE PRESIDENT
Credential: CPA
Phone: 956-722-0933