| Sun City Medical Clinic, P.a. | |
|
1651 Joe Battle Blvd. El Paso TX 79936 | |
| (915) 849-9010 | |
| (915) 849-9012 |
| Full Name | Sun City Medical Clinic, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1651 Joe Battle Blvd., El Paso, Texas |
| Authorized Official Name and Position | Manuel A. Padilla (PRESIDENT) |
| Authorized Official Contact | 9158499010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun City Medical Clinic, P.a. 1651 Joe Battle Blvd. El Pasp TX 79936 Ph: (915) 849-9010 | Sun City Medical Clinic, P.a. 1651 Joe Battle Blvd. El Paso TX 79936 Ph: (915) 849-9010 |
| NPI Number | 1992925218 |
|---|---|
| Provider Enumeration Date | 04/27/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4284648429 |
|---|---|
| Medicare Enrollment ID | O20060126000951 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992925218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Manuel Alejandro Padilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164440400 PECOS PAC ID: 9739193970 Enrollment ID: I20060127000505 |
| Provider Name | Maria I Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386725810 PECOS PAC ID: 0345348652 Enrollment ID: I20070611000534 |
| Provider Name | Eduardo Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043679756 PECOS PAC ID: 6406107010 Enrollment ID: I20180920002578 |
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