MRS. IRISH FAYE RIVERA PUGAO (NPI# 1548355548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548355548 |
| Entity Type | Individual |
| Full Name | MRS. IRISH FAYE RIVERA PUGAO |
| Credential | PA |
| Practice Address |
1485 George Dieter Dr Suite 107 El Paso TX 79936-7650 |
| Practice Telephone | 9157905700 |
| Practice Fax Number | 9155217082 |
| Mailing Telephone | 9157905700 |
| Mailing Fax Number | 9155217082 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2016-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA07983 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA.200174.RX | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1485 GEORGE DIETER DR SUITE 107 |
| City | EL PASO |
| State | TX |
| Zip Code | 79936-7650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679582860 | Lorena Natividad | Nurse Practitioner | 1485 George Dieter Dr, El Paso, TX 79936-7650 | 2006-08-05 |
| 1730540261 | Michael Manuel Zavala | Nurse Practitioner | 1485 George Dieter Dr, Suite 107, El Paso, TX 79936-7650 | 2016-03-10 |
| 1518209600 | Janel Marie Lynch | Pediatrics | 1485 George Dieter Dr, Suite 107, El Paso, TX 79936-7650 | 2013-03-26 |
| 1295039436 | Michelle Lee Calderon | Nurse Practitioner | 1485 George Dieter Dr, Suite 107, El Paso, TX 79936-7650 | 2011-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1346889953 | Georges Chiropractic and Wellness Center, Pa | Chiropractor | 1400 N Zaragosa Suite D, El Paso, TX 79936 | 2019-12-30 |
| 1316597768 | Larry Felix | Specialist/Technologist | 11720 Teachers Dr., El Paso, TX 79936 | 2019-09-18 |
| 1508323486 | Aaron John Palos | Pharmacist | 11320 Montwood, Pharmacy, El Paso, TX 79936 | 2019-02-27 |
| 1366919508 | Katrina Belvin | Social Worker | 1390 Georger Dieter Dr., #140, El Paso, TX 79936 | 2018-10-25 |
| 1063993244 | Assisted Living | Meals | 11065 Tom Weiskopf Dr, El Paso, TX 79936 | 2018-08-24 |
| 1588142962 | Miriam Salazar | Occupational Therapy Assistant | 1351 James Watt Dr., El Paso, TX 79936 | 2018-07-30 |
| 1902315179 | David Galindo | Occupational Therapist | 1415 Zaragoza, El Paso, TX 79936 | 2017-09-20 |
| 1861915589 | Lizette Salcido | Behavior Technician | 3221 Running Deer Dr., El Paso, TX 79936 | 2017-07-25 |
| 1659801264 | Edith Nneoma Vincent | Registered Nurse | 11829 Gwen Evans Ln, El Paso, TX 79936 | 2017-06-15 |
| Find all providers in zip 79936 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371791 | Miriam Leticia Munoz | Physician Assistant | 646 Mike Carbajal Rd, El Paso, TX 79927-2149 | 2020-09-22 |
| 1184264541 | Rodrigo Carrasco | Physician Assistant | 7560 Wolf Creek Dr, El Paso, TX 79911-3143 | 2020-01-13 |
| 1134764558 | Andrea Pilar Stam | Physician Assistant | 5005 N. Piedras Street; Attn, Wbamc, El Paso, TX 79920-5001 | 2019-11-08 |
| 1326680786 | Lori Evelyn Berumen | Physician Assistant | 7100 Westwind Dr Ste 120, El Paso, TX 79912-1757 | 2019-10-17 |
| 1609437946 | Ruben Andy Medina | Physician Assistant | 179 Vinson Way, El Paso, TX 79915-4227 | 2019-06-26 |
| 1790344331 | Alexandra Apodaca | Physician Assistant | 1641 Bessemer Dr, El Paso, TX 79936-5226 | 2019-06-07 |
| 1427518901 | Danielle Hicks | Physician Assistant | 2496 Ricker Rd., El Paso, TX 79916 | 2019-03-21 |
| 1023586211 | Erica Guerrero | Physician Assistant | 4801 Alberta Ave Ste B-3200, El Paso, TX 79905-2707 | 2018-11-06 |
| 1366919391 | Jeffrey Aaron Hobbs | Physician Assistant | 5005 N. Piedras Street, Attn;, Wbamc, El Paso, TX 79920-5001 | 2018-10-29 |
| 1720580764 | Sungil Hwang | Physician Assistant | 11200 Sean Haggerty Dr Apt 18208, El Paso, TX 79934-3386 | 2018-03-06 |
| 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.