RUBEN R RONCALLO MD PA (NPI# 1881004737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881004737 |
| Entity Type | Organization |
| Organization Name | RUBEN R RONCALLO MD PA |
| Practice Address |
4500 N Mesa St El Paso TX 79912-6102 |
| Practice Telephone | 9155329000 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |
| Authorized Official Name | EDGARDO ANTONIO CERA (MANAGER) |
| Authorized Official Telephone | 9155329000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
K9162 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 101868104 | 05 |
| 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 |
| 1093205932 | Rosa Isela Montenegro | Nurse Practitioner | 4500 N Mesa St, El Paso, TX 79912-6102 | 2018-05-16 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696253 | Bio Drip, LLC | Clinic/Center | 935 Sunland Park Dr Ste 103, El Paso, TX 79922-1369 | 2020-10-16 |
| 1891392437 | Blum Health Pllc | Clinic/Center | 1387 George Dieter Dr Ste 106d, El Paso, TX 79936-7410 | 2020-10-06 |
| 1134606395 | Paul C. Nowak, M.d., F.a.a.p. | Clinic/Center | 1800 N Mesa St Ste 102, El Paso, TX 79902-3554 | 2018-07-20 |
| 1225359219 | Enrique Porras M.d.,p.a. | Clinic/Center | 10470 Vista Del Sol Dr Ste 108, El Paso, TX 79925-7928 | 2010-06-14 |
| 1306044227 | Family Medicine & Aesthetics Pa | Clinic/Center | 550 S. Mesa Hills Drive, Suite C-2, El Paso, TX 79912 | 2007-07-03 |
| 1417958901 | La Clinica Guadalupana, Inc | Clinic/Center | 901 Ascencion St, El Paso, TX 79928-9080 | 2005-08-09 |
| 1215417548 | Healthworks Med Group of Texas Darlington P A | Clinic/Center | 9600 Sims Dr, El Paso, TX 79925-7200 | 2018-08-16 |
| 1053848721 | Sun City Family Medical Clinic | Clinic/Center | 2931 Montana Ave, El Paso, TX 79903-2409 | 2017-05-12 |
| 1245601459 | Montwood Family Medical Center | Clinic/Center | 3022 Trawood Dr, El Paso, TX 79936-4329 | 2015-10-14 |
| 1225382609 | Horizon Pediatric Night Clinic | Clinic/Center | 836 E Redd Rd, El Paso, TX 79912-7221 | 2012-11-06 |
| 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.