DR. REO P PUGAO (NPI# 1063689065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063689065 |
Entity Type | Individual |
Full Name | DR. REO P PUGAO |
Credential | DDS |
Practice Address |
10175 Gateway Blvd W Ste 304 El Paso TX 79925-7618 |
Practice Telephone | 9155046880 |
Practice Fax Number | 9155998579 |
Mailing Telephone | 9095280480 |
Enumeration Date | 2008-05-09 |
Last Update Date | 2020-03-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
27779 | TX | Dental Providers |
Street Address |
10175 GATEWAY BLVD W STE 304 |
City | EL PASO |
State | TX |
Zip Code | 79925-7618 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811994502 | Jose J. Monsivais | Specialist | 10175 Gateway Blvd W, Suite 230, El Paso, TX 79925-7618 | 2005-07-07 |
1902435951 | Marc Pickard | Student in an Organized Health Care Education/Training Program | 10175 Gateway Blvd W, El Paso, TX 79925-7618 | 2020-04-02 |
1295267508 | Louis E. Zuniga, Pt PC | Physical Therapist | 10175 Gateway Blvd W, El Paso, TX 79925-7618 | 2017-03-28 |
1467814061 | Michael David Lara, Md, Pa | Surgery | 10175 Gateway Blvd W, 220, El Paso, TX 79925-7618 | 2016-03-23 |
1164825089 | Blood Optimization Services of El Paso | Clinical Medical Laboratory | 10175 Gateway Blvd W, Ste 116, El Paso, TX 79925-7618 | 2014-10-06 |
1194137497 | Alonzo Molinar | Clinic/Center | 10175 Gateway Blvd W, Suite 210, El Paso, TX 79925-7618 | 2014-05-21 |
1992147565 | Southwest Plastic Surgery Pa | Surgery | 10175 Gateway Blvd W, 210, El Paso, TX 79925-7618 | 2013-07-24 |
1700178555 | West Texas Maxillofacial Surgery Pa | Oral & Maxillofacial Surgery | 10175 Gateway Blvd W, Suite304, El Paso, TX 79925-7618 | 2011-05-12 |
1467743542 | Humberto Palladino Md, Pa | Plastic Surgery | 10175 Gateway Blvd W, 210, El Paso, TX 79925-7618 | 2011-04-25 |
1063735835 | Solaris Laboratory Services LLC | Clinical Medical Laboratory | 10175 Gateway Blvd W, Suite 116, El Paso, TX 79925-7618 | 2010-03-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003434820 | Francisco Andres Escobar | Dentist | 2200 N Yardbrough Dr, Suite N, El Paso, TX 79925 | 2020-07-08 |
1982259495 | Cruz Elvia Corral | Assisted Living Facility | 10165 Bermuda, El Paso, TX 79925 | 2019-08-02 |
1740846179 | Sister Sisters In Home Care Services LLC | In Home Supportive Care | 9327 Sims Drive, Suite F, El Paso, TX 79925 | 2019-05-10 |
1245790450 | Mario Salinas | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W, El Paso, Texas 79925, El Paso, TX 79925 | 2019-03-22 |
1720559289 | Sweet Care Home Care Providers LLC | PACE Provider Organization | 7917 Sunmount Dr, El Paso, TX 79925 | 2018-12-10 |
1083130215 | Javier Calzadilla Jr. | Behavior Technician | 9900 Montana Ave Ste C6, El Paso, TX 79925 | 2017-08-18 |
1942721980 | Isela Cristina Sanchez | Specialist/Technologist | 3021 Killarney St., El Paso, TX 79925 | 2017-06-29 |
1831629617 | Rebekah E Alvarez | Behavior Technician | 2200 North Yarabrough Suite B, Apt 103, El Paso, TX 79925 | 2017-06-14 |
1841646817 | Imelda Barbosa | Counselor | 9455 Viscount 170, El Paso, TX 79925 | 2016-05-10 |
1528426491 | Salnor, Inc. | Clinic/Center | 8517 Lockheed Dr., El Paso, TX 79925 | 2016-02-05 |
Find all providers in zip 79925 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821640822 | Guillen Rivera Oral and Maxillofacial Surgery Pllc | Dentist | 7100 Westwind Dr Ste 110-115, El Paso, TX 79912-1786 | 2019-07-10 |
1699133801 | El Paso Oral Surgery Center, Pllc | Dentist | 7878 Gateway Blvd East, Suite 301, El Paso, TX 79915 | 2016-02-02 |
1659548774 | North Mesa Dental, PC | Dentist | 5130 Fairbanks Dr, El Paso, TX 79924-3813 | 2008-05-08 |
1366635369 | Gerardo Jose Guillen Rivera | Dentist | 4504 Parade Willow Dr, El Paso, TX 79922-2235 | 2007-08-22 |
1386849446 | Ryan J Smart | Dentist | 10175 Gateway Blvd W Ste 304, El Paso, TX 79925 | 2007-06-19 |
1588662365 | Sandra Milburn Edwards | Dentist | 210 Thunderbird Dr, Suite V, El Paso, TX 79912-3910 | 2005-07-14 |
1326423468 | El Paso Oral & Facial Surgeons, Pllc | Dentist | 1390 George Dieter Dr, Suite 120, El Paso, TX 79936-7420 | 2015-07-29 |
1295091064 | Edward Weston Santee | Dentist | 10175 Gateway Blvd W Ste 304, El Paso, TX 79925-7618 | 2012-04-06 |
1669613485 | Natasha Furchtgott | Dentist | 10175 Gateway Blvd W Ste 304, El Paso, TX 79925 | 2009-03-09 |
1275700742 | David Michael Yates | Dentist | 10175 Gateway Blvd W Ste 304, El Paso, TX 79925-7618 | 2008-05-13 |
Find all providers in EL PASO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.