Active NPI
Linda Velasquez MD PA
Doing business as Presidio Pediatrics
- Pediatrics Physician
- El Paso, TX
National Provider Identifier
1306107594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M6437
- Legal business name
- LINDA VELASQUEZ MD PA
- Doing business as
- Presidio Pediatrics
- Practice address
- 9740 Dyer St Ste 112
El Paso, TX 79924-4760 - Phone
- (915) 500-5030
- Fax
- (915) 500-5001
- NPI assigned
- Jun 4, 2012
- Last updated
- Jun 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Linda Velasquez, M.D.
- Title
- President/Owner
- Phone
- (915) 500-5030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M6437 | TX | Primary |
Addresses
Primary practice location
9740 Dyer St Ste 112
El Paso, TX 79924-4760
Mailing address
9740 Dyer St Ste 112
El Paso, TX 79924-4760
Phone (915) 500-5030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190698402 | Medicaid | TX |
Other names 1
- Presidio Pediatrics
National Provider Directory
National Provider DirectoryLocations
9740 Dyer St
Ste 112
El Paso, TX 79924
Phone (915) 500-5030
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- El Paso, TX
- NPI 1215662697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338768000000",
"number": "1306107594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9740 DYER ST STE 112",
"city": "EL PASO",
"state": "TX",
"postal_code": "799244760",
"telephone_number": "915-500-5030",
"fax_number": "915-500-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9740 DYER ST STE 112",
"city": "EL PASO",
"state": "TX",
"postal_code": "799244760",
"telephone_number": "915-500-5030",
"fax_number": "915-500-5001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDA VELASQUEZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-04",
"last_updated": "2012-06-04",
"status": "A",
"authorized_official_last_name": "VELASQUEZ",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "915-500-5030",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M6437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190698402",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Presidio Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.