DR. EDGAR DAVID REYNA MALDONADO (NPI# 1215294566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215294566 |
| Entity Type | Individual |
| Full Name | DR. EDGAR DAVID REYNA MALDONADO |
| Credential | M.D. |
| Practice Address |
2270 Joe Battle Blvd Ste M El Paso TX 79938-2610 |
| Practice Telephone | 9158557000 |
| Practice Fax Number | 9158557007 |
| Mailing Telephone | 9158557000 |
| Mailing Fax Number | 9158557007 |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2020-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Q4500 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2270 JOE BATTLE BLVD STE M |
| City | EL PASO |
| State | TX |
| Zip Code | 79938-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881150506 | Erik Garcia | Family Medicine | 2270 Joe Battle Blvd Ste M, El Paso, TX 79938-2610 | 2019-02-18 |
| 1467922930 | Virginia Gamez | Nurse Practitioner | 2270 Joe Battle Blvd Ste M, El Paso, TX 79938-2610 | 2018-11-28 |
| 1912400599 | Jose Ivan Valenzuela Jr. | Nurse Practitioner | 2270 Joe Battle Blvd Ste M, El Paso, TX 79938-2610 | 2018-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962047795 | Brooke Raanne Beaver | Behavioral Analyst | Wells Fargo Plaza, Kansas St # 700, El Paso, TX 79938 | 2019-11-15 |
| 1386109635 | Judith Roman | Nurse Practitioner | 12810 Edgemere, El Paso, TX 79938 | 2019-01-31 |
| 1033681564 | Project Vida Health Center | Clinic/Center | 3216 Tim Foster Street, El Paso, TX 79938 | 2018-12-21 |
| 1851868384 | Possibilities Speculation, Pllc | Dentist | 2260 N Zaragoza Rd Unit A112, El Paso, TX 79938 | 2018-11-02 |
| 1578030276 | Connor Family Dentistry East Pllc | Dentist | 1920 N. Zaragoza Rd., Suite 107, El Paso, TX 79938 | 2018-10-31 |
| 1952895039 | Marlen Hernandez Cortez | Behavior Technician | 15165 Snohomish Loop, El Paso, TX 79938 | 2018-06-21 |
| 1497287155 | Assisting Alliance L.L.C. | Physician Assistant | 14048 Oso Rock Way, El Paso, TX 79938 | 2017-03-31 |
| 1619428703 | Sege Medical PC | Family Medicine | 2260 N Zaragoza, Suite A118, El Paso, TX 79938 | 2016-10-24 |
| 1891148110 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 12051 Tierra Este Rd, El Paso, TX 79938 | 2016-07-21 |
| 1639538077 | Early Bird Pediatric Therapy Clinic, Inc | Occupational Therapist | 2114 N Zaragoza Rd Ste C1, El Paso, TX 79938 | 2016-02-13 |
| Find all providers in zip 79938 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170627 | Veronica Diane Garcia | Family Medicine | 5316 E Paisano Dr, El Paso, TX 79905-2942 | 2020-09-23 |
| 1881210599 | Sleep Doctor Pllc | Family Medicine | 840 E Redd Rd Bldg 1a, El Paso, TX 79912-7265 | 2020-06-18 |
| 1801420104 | San Jose Moscati Medical Home | Family Medicine | 1200 Golden Key Cir Ste 230, El Paso, TX 79925-5834 | 2020-02-25 |
| 1346882727 | Joseph William Garcia | Family Medicine | 2812 Granite Rock Dr, El Paso, TX 79938-2731 | 2019-10-17 |
| 1144781709 | Health Management Care Pa | Family Medicine | 9740 Dyer St Ste 111, El Paso, TX 79924-4700 | 2019-03-27 |
| 1346736444 | Rosa Ivelisse Colon | Family Medicine | 6545 Royal Ridge Dr, El Paso, TX 79912-7439 | 2018-07-02 |
| 1417450842 | Eq Medical Pa | Family Medicine | 7812 Gateway Blvd E Ste 230, El Paso, TX 79915-1837 | 2018-03-12 |
| 1841790078 | East El Paso Family Medicine Pa | Family Medicine | 1393 George Dieter Dr Ste D, El Paso, TX 79936-7410 | 2018-02-14 |
| 1255865879 | Dl Ep Enterprises, Inc | Family Medicine | 1325 Montana Ave, El Paso, TX 79902-5538 | 2017-04-20 |
| 1336672468 | Ibiye Owei | Family Medicine | 2000b Transmountain Rd Ste B400, El Paso, TX 79911-3600 | 2017-04-05 |
| 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.