NPIMap

Organization Active NPI

La Clinica Guadalupana, Inc

  • Primary Care Clinic/Center
  • El Paso, TX
National Provider Identifier
1417958901
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LA CLINICA GUADALUPANA, INC
Practice address
901 Ascencion St
El Paso, TX 79928-9080
Phone
(915) 852-3328
Fax
(915) 852-4246
NPI assigned
Aug 9, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Margaret Renee Deneweth, RN
Title
Director
Phone
(915) 526-4181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X TX Primary

Addresses

Primary practice location

901 Ascencion St
El Paso, TX 79928-9080

Mailing address

901 Ascencion St
El Paso, TX 79928-9080
Phone (915) 852-3328

National Provider Directory

National Provider Directory

Locations

901 Ascencion St
El Paso, TX 79928
Phone (915) 852-3328

Practitioners & affiliated clinicians

Practitioners 6

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": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417958901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ASCENCION ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799289080",
            "telephone_number": "915-852-3328",
            "fax_number": "915-852-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ASCENCION ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799289080",
            "telephone_number": "915-852-3328",
            "fax_number": "915-852-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CLINICA GUADALUPANA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENEWETH",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "915-526-4181",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.