| Socorro Medical Clinic Llc | |
|
10720 N Loop Dr Suite A Socorro TX 79927-4409 | |
| (915) 351-4010 | |
| (915) 309-1816 |
| Full Name | Socorro Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10720 N Loop Dr, Socorro, Texas |
| Authorized Official Name and Position | Adekunle Adedayo Adedeji (PRESIDENT) |
| Authorized Official Contact | 9153514010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Socorro Medical Clinic Llc Po Box 221287 El Paso TX 79913-4287 Ph: (915) 351-4010 | Socorro Medical Clinic Llc 10720 N Loop Dr Suite A Socorro TX 79927-4409 Ph: (915) 351-4010 |
| NPI Number | 1922478114 |
|---|---|
| Provider Enumeration Date | 09/30/2015 |
| Last Update Date | 05/29/2024 |
| Medicare PECOS PAC ID | 3577862093 |
|---|---|
| Medicare Enrollment ID | O20160504000769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922478114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N3416 (Texas) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| Provider Name | Adekunle Adedeji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902086937 PECOS PAC ID: 4486791753 Enrollment ID: I20091020000378 |
| Provider Name | Olufemi Ayobami Aduroja |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366762874 PECOS PAC ID: 6608090006 Enrollment ID: I20180614002770 |
| Provider Name | Santos Javier Aguirre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174072797 PECOS PAC ID: 7517307101 Enrollment ID: I20240430001643 |
| Provider Name | Melissa Guadalupe Zamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003678681 PECOS PAC ID: 3476993932 Enrollment ID: I20240501000415 |
| Provider Name | Jesus Enrique Salcido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255910188 PECOS PAC ID: 8921449059 Enrollment ID: I20240507003220 |
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Project Vida Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11471 Alameda Ave, Socorro, TX 79927 Phone: 915-537-7057 Fax: 915-857-8971 | |
Iglesias Family Medicine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9895 Alameda Ave, Suite 118, Socorro, TX 79927 Phone: 915-702-0030 | |
Project Vida Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Bovee Rd., Socorro, TX 79927 Phone: 915-533-7057 Fax: 915-533-7158 |