MS. ROSA ISELA MONTENEGRO (NPI# 1093205932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093205932 |
| Entity Type | Individual |
| Full Name | MS. ROSA ISELA MONTENEGRO |
| Credential | CPNP |
| Practice Address |
4500 N Mesa St El Paso TX 79912-6102 |
| Practice Telephone | 9155329000 |
| Practice Fax Number | 9155329006 |
| Mailing Telephone | 9155329000 |
| Mailing Fax Number | 9155329006 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP137426 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4500 N MESA ST |
| City | EL PASO |
| State | TX |
| Zip Code | 79912-6102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841347218 | Border Pediatrics, P.a. | Pediatrics | 4500 N Mesa St, El Paso, TX 79912-6102 | 2007-01-05 |
| 1881004737 | Ruben R Roncallo Md Pa | Clinic/Center | 4500 N Mesa St, El Paso, TX 79912-6102 | 2014-04-30 |
| 1780829259 | Roberta Ann Durk | Nurse Practitioner | 4500 N Mesa St, El Paso, TX 79912-6102 | 2008-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903801 | Cristina Valerie Quinones | Registered Nurse | 444 Executive Blvd., Suite 148, El Paso, TX 79912 | 2020-08-20 |
| 1528698255 | Thomas Wayne Woo Sr. | Physical Therapist | 7430 Remcon Circle Bldg A, El Paso, TX 79912 | 2020-01-22 |
| 1760030290 | Susan De La Cruz | Nurse Practitioner | 6600 N Dessert Blvd, El Paso, TX 79912 | 2019-08-28 |
| 1558925438 | Smiles 4 Less Orthodontics, P.a. | Dentist | 7480 Remcon Cir, El Paso, TX 79912 | 2019-04-26 |
| 1831669423 | Jorge Lorenzo Soto | Occupational Therapy Assistant | 4700 N. Mesa St. F-4, El Paso, TX 79912 | 2018-11-27 |
| 1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
| 1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1679078927 | Kassandra Ashley Wright | Registered Nurse | 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 | 2018-03-28 |
| 1013410802 | Maranatha Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 7100 Westwind Dr Ste 155, El Paso, TX 79912 | 2018-03-17 |
| Find all providers in zip 79912 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255994174 | Priscilla Aguilar-hernandez | Nurse Practitioner | 10870 Gateway Blvd N Ste B, El Paso, TX 79924-1802 | 2019-04-16 |
| 1639659337 | Idali Barraza Cooper | Nurse Practitioner | 11331 James Watt Dr Ste 600, El Paso, TX 79936-6401 | 2018-08-21 |
| 1619477809 | Stephanie Lynn Baldwin | Nurse Practitioner | 5036 Gold Ranch Ave, El Paso, TX 79934-2859 | 2018-02-14 |
| 1073048922 | Deborah Sample | Nurse Practitioner | 701 Nita Fay Dr, El Paso, TX 79912-1401 | 2017-04-28 |
| 1144751223 | Heather Louise Saucedo | Nurse Practitioner | 11577 James Grant Dr, El Paso, TX 79936-5417 | 2017-03-21 |
| 1053854307 | Tanya Louise Alvarez | Nurse Practitioner | 4845 Alameda, El Paso Children's Hospital, El Paso, TX 79905 | 2016-11-18 |
| 1629437447 | Sandra Rebekah Flores | Nurse Practitioner | 2431 Pittsburg Ave, El Paso, TX 79930-1125 | 2016-02-22 |
| 1730547985 | Lourdes Guadalupe Alvarez | Nurse Practitioner | 1344 Backus St, El Paso, TX 79925-6605 | 2016-02-03 |
| 1396102778 | Vanessa Velez | Nurse Practitioner | 4845 Alameda Avenue, El Paso, TX 79905 | 2016-01-15 |
| 1609272962 | Klaudia S. Gutierrez | Nurse Practitioner | 11026 Vista Del Sol Dr, El Paso, TX 79935-4314 | 2014-11-14 |
| 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.