Carlos Saucedo, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

114132 Issued in TX

Practice address

615 E Schuster Ave Ste 8
El Paso, TX 79902-4360

Phone

(915) 533-1799

Fax

(915) 267-3553

NPI assigned

Oct 16, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SRN Speech Therapy, PC

  • Speech-Language Pathologist
  • El Paso, TX
  • NPI 1356713671
  NPD (past)

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366953481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E SCHUSTER AVE STE 8",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024360",
            "telephone_number": "915-533-1799",
            "fax_number": "915-267-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E SCHUSTER AVE STE 8",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024360",
            "telephone_number": "915-533-1799",
            "fax_number": "915-267-3553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 Bessemer Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799365909",
            "country_code": "US",
            "telephone_number": "915-629-7663",
            "fax_number": "915-267-3553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUCEDO",
        "first_name": "CARLOS",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-5020203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shariq Sattar, MD
• Cristina Saucedo-Munguia, FNP
• Jesus Saucedo-Ramos, FNP-BC
• Ana Maria Saucedo, P.A.
• Arthur Saucedo, COTA
• Claudia Saucedo, AGPCNP-BC
• Elizabeth Saucedo
• Evelyn Saucedo
• Heather Louise Saucedo, PNP-AC
• Jaimie Saucedo

• Occupational Therapist in El Paso, TX
• Providers in El Paso, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.