Healthcare Provider Details

I. General information

NPI: 1386720944
Provider Name (Legal Business Name): GESINA N. RECTO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 11/02/2022
Certification Date: 11/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 MCPHERSON RD. STE214
LAREDO TX
78041
US

IV. Provider business mailing address

6801 MCPHERSON RD. STE214
LAREDO TX
78041
US

V. Phone/Fax

Practice location:
  • Phone: 956-795-8585
  • Fax: 956-795-8558
Mailing address:
  • Phone: 956-795-8585
  • Fax: 956-795-8558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberK9881
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: