Organization Active NPI

Moises I. Blancas PC

  • Physical Therapy Clinic/Center
  • El Paso, TX
National Provider Identifier
1467831081
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MOISES I. BLANCAS PC
Practice address
1360 N Lee Trevino Dr
Suites 302-303
El Paso, TX 79936-6400
Phone
(915) 629-2675
Fax
(915) 629-2684
NPI assigned
May 28, 2015
Last updated
May 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Moises I Blancas, PT
Title
Owner
Phone
(915) 629-2675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X TX Primary

Addresses

Primary practice location

1360 N Lee Trevino Dr
Suites 302-303
El Paso, TX 79936-6400

Mailing address

1360 N Lee Trevino Dr
Suites 302-303
El Paso, TX 79936-6400
Phone (915) 629-2675

National Provider Directory

National Provider Directory

Locations

1360 N Lee Trevino Dr
#302303
El Paso, TX 79936
Phone (915) 629-2675

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1467831081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 N LEE TREVINO DR",
            "address_2": "SUITES 302-303",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366400",
            "telephone_number": "915-629-2675",
            "fax_number": "915-629-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 N LEE TREVINO DR",
            "address_2": "SUITES 302-303",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366400",
            "telephone_number": "915-629-2675",
            "fax_number": "915-629-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOISES I. BLANCAS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "BLANCAS",
        "authorized_official_first_name": "MOISES",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-629-2675",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "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 May 28, 2015; 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.