Sun City Neuromuscular Rehabilitation PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SUN CITY NEUROMUSCULAR REHABILITATION PLLC

Practice address

2230 Joe Battle Blvd
El Paso, TX 79938-2619

Phone

(915) 910-6041

Fax

(915) 944-3198

NPI assigned

Apr 24, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Shahabi Azad, MDNPI 1821483660

Title

Owner

Phone

(915) 443-2585

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, NM2 enrollments

Enrollment records 2

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Shahabi-Azad, MD

  • Physical Medicine & Rehabilitation Physician
  • El Paso, TX
  • NPI 1821483660

  NM

  Medicare reassignment Care Compare group NPD Authorized official
• Eduardo Aguirre, AGACNP-BC

  • Acute Care Nurse Practitioner
  • El Paso, TX
  • NPI 1841896032
  Medicare reassignment Care Compare group NPD
• Christian Lechuga

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1659010775

  NM

  Medicare reassignment Care Compare group NPD
• Jorge Adan Vazquez, APRN-CNP

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1376313775
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1255995387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 HOKE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542224",
            "telephone_number": "915-443-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382619",
            "telephone_number": "915-910-6041",
            "fax_number": "915-944-3198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4441 E Lohman Ave",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880118267",
            "country_code": "US",
            "telephone_number": "575-521-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUN CITY NEUROMUSCULAR REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "SHAHABI AZAD",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-443-2585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun City Kidz Clinic PA
• Sun City Management Corp.
• Sun City Medical Clinic, P.a.
• Sun City Medical Practice, P.a.
• Sun City Neurology, P.a.
• Sun City Oral Surgery and Implant Center LLC
• Sun City Orthopaedic & Hand Surgery Specialists PLLC
• Sun City Orthopedics
• Sun City Orthopedics
• Sun City Pediatrics, PA

• Physical Medicine & Rehabilitation Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.