| Seniorfirst Geriatric Care Pllc | |
|
14300 Pebble Hills Blvd El Paso TX 79938 | |
| (915) 955-9998 | |
| Not Available |
| Full Name | Seniorfirst Geriatric Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14300 Pebble Hills Blvd, El Paso, Texas |
| Authorized Official Name and Position | Ismael Rodriguez Vazquez (MD) |
| Authorized Official Contact | 9178422130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seniorfirst Geriatric Care Pllc 4849 N. Mesa St Ste 201 El Paso TX 79912 Ph: (915) 351-6600 | Seniorfirst Geriatric Care Pllc 14300 Pebble Hills Blvd El Paso TX 79938 Ph: (915) 955-9998 |
| NPI Number | 1639850811 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Medicare PECOS PAC ID | 4183078330 |
|---|---|
| Medicare Enrollment ID | O20230921004239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639850811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ismael Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730450859 PECOS PAC ID: 3375787146 Enrollment ID: I20130917000381 |
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