Salud Y Vida, P.a. | |
6974 Gateway Blvd E Suite F El Paso TX 79915-1115 | |
(915) 774-8850 | |
(915) 598-3946 |
Full Name | Salud Y Vida, P.a. |
---|---|
Speciality | Family Medicine |
Location | 6974 Gateway Blvd E, El Paso, Texas |
Authorized Official Name and Position | Rafael Armendariz (PRESIDENT) |
Authorized Official Contact | 9155912704 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Salud Y Vida, P.a. 1335 Geronimo Dr El Paso TX 79925-1836 Ph: (915) 591-2704 | Salud Y Vida, P.a. 6974 Gateway Blvd E Suite F El Paso TX 79915-1115 Ph: (915) 774-8850 |
NPI Number | 1043287287 |
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Provider Enumeration Date | 03/07/2006 |
Last Update Date | 08/25/2023 |
Medicare PECOS PAC ID | 9830115229 |
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Medicare Enrollment ID | O20051014000440 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043287287 | NPI | - | NPPES |
0924243-03 | Medicaid | TX | |
0924243-02 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Osvaldo D Bazil-mieses |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174523732 PECOS PAC ID: 0840288155 Enrollment ID: I20040505000363 |
Provider Name | Jason Finkelstein |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1750355103 PECOS PAC ID: 0446207393 Enrollment ID: I20061026000113 |
Provider Name | Hernan E Miranda |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477547339 PECOS PAC ID: 7719945633 Enrollment ID: I20081101000101 |
Provider Name | Roberto Rivera-morales |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1992797377 PECOS PAC ID: 6002713336 Enrollment ID: I20090415000310 |
Provider Name | Anne M Glaser |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1689671828 PECOS PAC ID: 3870583321 Enrollment ID: I20091020000098 |
Provider Name | Justin Pham |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1821040866 PECOS PAC ID: 0042104754 Enrollment ID: I20100512000449 |
Provider Name | Rafael Armendariz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346243235 PECOS PAC ID: 7214954510 Enrollment ID: I20100819001055 |
Provider Name | Cary Rose |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1548244122 PECOS PAC ID: 2365427184 Enrollment ID: I20130926000121 |
Provider Name | Craig Cook |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1184915282 PECOS PAC ID: 3577799154 Enrollment ID: I20131204001695 |
Provider Name | Gerardo Vazquez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548588833 PECOS PAC ID: 7517184138 Enrollment ID: I20140805002457 |
Provider Name | Pablo Alberto Casares |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073827762 PECOS PAC ID: 1850519091 Enrollment ID: I20140829000262 |
Provider Name | Jules Pean |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1164476602 PECOS PAC ID: 9234037987 Enrollment ID: I20150303001237 |
Provider Name | Patrick Piya Lertdilok |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1982938791 PECOS PAC ID: 0749593440 Enrollment ID: I20150724010159 |
Provider Name | Olga Volkova |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922402734 PECOS PAC ID: 9739488255 Enrollment ID: I20160504000816 |
Provider Name | Eugene Okwuchukwu Okafor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538528575 PECOS PAC ID: 3274824552 Enrollment ID: I20160616000371 |
Provider Name | Phong Thang Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164885133 PECOS PAC ID: 6406143247 Enrollment ID: I20160922001449 |
Provider Name | Rachel Elizabeth Ledger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174976708 PECOS PAC ID: 3678861416 Enrollment ID: I20161012000083 |
Provider Name | Diego F Tovar Quiroga |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1790099380 PECOS PAC ID: 6103040647 Enrollment ID: I20161020001674 |
Provider Name | Catherine Lee Ramig |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164979860 PECOS PAC ID: 0941580062 Enrollment ID: I20161207001646 |
Provider Name | Lashanda Marie Beamon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245692318 PECOS PAC ID: 1355626607 Enrollment ID: I20170328002717 |
Provider Name | Jose Valdivia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194264952 PECOS PAC ID: 6709162522 Enrollment ID: I20170411000241 |
Provider Name | Hector Lucas Rodriguez-gonzalez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780091520 PECOS PAC ID: 1759650856 Enrollment ID: I20170705002637 |
Provider Name | Cresilda Juarez Yuson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447773338 PECOS PAC ID: 5496020430 Enrollment ID: I20171002001667 |
Provider Name | Elizabeth Adetutu Osaade |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558725895 PECOS PAC ID: 2668747148 Enrollment ID: I20171010000219 |
Provider Name | Adel Abas Mahmood Abdalla |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1497702542 PECOS PAC ID: 8527053347 Enrollment ID: I20180322001805 |
Provider Name | Amjad A Safvi |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1093707457 PECOS PAC ID: 7012809650 Enrollment ID: I20180326001997 |
Provider Name | Hannah Grace Moffitt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831601491 PECOS PAC ID: 2567725302 Enrollment ID: I20180410000489 |
Provider Name | Philip Brandeis Mcdonald |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1649411422 PECOS PAC ID: 1759551088 Enrollment ID: I20181211003079 |
Provider Name | Kate E Jin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982260048 PECOS PAC ID: 6406180835 Enrollment ID: I20190619000336 |
Provider Name | Myra Ivette Robles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164087904 PECOS PAC ID: 4183958457 Enrollment ID: I20190620003136 |
Provider Name | Alfredo Madrid |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649815978 PECOS PAC ID: 4385070572 Enrollment ID: I20200206001992 |
Provider Name | Lisa M Fallon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508491176 PECOS PAC ID: 4082044094 Enrollment ID: I20200415000524 |
Provider Name | Humberto Raul Saenz Chavez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164873188 PECOS PAC ID: 4284058686 Enrollment ID: I20200717002000 |
Provider Name | Norma M Vega |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609480540 PECOS PAC ID: 3971922766 Enrollment ID: I20200928002908 |
Provider Name | Justine Alysse Franco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437804135 PECOS PAC ID: 5890182851 Enrollment ID: I20220422000321 |
Provider Name | Vanessa Magallanes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942922661 PECOS PAC ID: 8628454121 Enrollment ID: I20221006003261 |
Provider Name | Lindsey Renee Seipel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700593225 PECOS PAC ID: 5193197523 Enrollment ID: I20230214000785 |
Provider Name | Nicole Susanne Gooden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902510969 PECOS PAC ID: 0547634297 Enrollment ID: I20230320001063 |
Provider Name | Lucia Medina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497382832 PECOS PAC ID: 7315308715 Enrollment ID: I20230801004668 |
Provider Name | Daniel Mcaffee |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1023403078 PECOS PAC ID: 5496004418 Enrollment ID: I20231003004010 |
Provider Name | Chun-yin Wu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750168811 PECOS PAC ID: 7214375369 Enrollment ID: I20240409001398 |
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