Provider Demographics
NPI:1730272543
Name:CARPINTEYRO, RALPH (MD)
Entity type:Individual
Prefix:
First Name:RALPH
Middle Name:
Last Name:CARPINTEYRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5447
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78802-5447
Mailing Address - Country:US
Mailing Address - Phone:830-278-6681
Mailing Address - Fax:830-591-0457
Practice Address - Street 1:1042 GARNER FIELD RD
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-4832
Practice Address - Country:US
Practice Address - Phone:830-278-6681
Practice Address - Fax:830-591-0457
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2590261QR1300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00FG03OtherMEDICARE PART B
TX122943704OtherMEDICAID HOSPITAL
TX063412301Medicaid
TX1013185289Medicaid
TX122943704Medicaid
TX1730272543Medicaid
TX1730272543Medicaid
TX122943704Medicaid