| Academy Of Diabetes, Thyroid And Endocrine, P.a. | |
|
1516 Lomaland Dr. El Paso TX 79935 | |
| (915) 593-2600 | |
| (915) 593-2609 |
| Full Name | Academy Of Diabetes, Thyroid And Endocrine, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1516 Lomaland Dr., El Paso, Texas |
| Authorized Official Name and Position | Sergio F. Rovner (PHYSICIAN/VP) |
| Authorized Official Contact | 9153562850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Academy Of Diabetes, Thyroid And Endocrine, P.a. 1516 Lomaland Dr. El Paso TX 79935 Ph: (915) 593-2600 | Academy Of Diabetes, Thyroid And Endocrine, P.a. 1516 Lomaland Dr. El Paso TX 79935 Ph: (915) 593-2600 |
| NPI Number | 1689792475 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 05/02/2016 |
| Medicare PECOS PAC ID | 8527120716 |
|---|---|
| Medicare Enrollment ID | O20081223000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689792475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Benito A Marranzini |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083617328 PECOS PAC ID: 8426025081 Enrollment ID: I20040913001306 |
| Provider Name | Verlaine M Stewart-ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811902281 PECOS PAC ID: 9638243371 Enrollment ID: I20080730000089 |
| Provider Name | Sergio F Rovner |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437164803 PECOS PAC ID: 3274725379 Enrollment ID: I20101007000863 |
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