NPIMap

Organization Active NPI

Advanced Urology of El Paso, P.a

  • Urology Physician
  • El Paso, TX
National Provider Identifier
1194966309
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ADVANCED UROLOGY OF EL PASO, P.A
Practice address
10301 Gateway Blvd W
Suite 300
El Paso, TX 79925-3315
Phone
(915) 779-1716
NPI assigned
Mar 18, 2009
Last updated
Mar 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mauricio Davalos, M.D.NPI 1114179678
Title
Owner
Phone
(914) 909-6565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

10301 Gateway Blvd W
Suite 300
El Paso, TX 79925-3315

Mailing address

10301 Gateway Blvd W
Suite 300
El Paso, TX 79925-7701

Other identifiers 1

IdentifierTypeStateIssuer
N1606OtherTXMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

10175 Gateway Blvd W
Ste 320
El Paso, TX 79925
Phone (915) 225-2456

10301 Gateway Blvd W
Ste 300
El Paso, TX 79925

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1194966309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 GATEWAY BLVD W",
            "address_2": "SUITE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 GATEWAY BLVD W",
            "address_2": "SUITE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253315",
            "telephone_number": "915-779-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED UROLOGY OF EL PASO, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "DAVALOS",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-909-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "N1606",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.