Organization Active NPI

Diabetes Related Education & MGMT

  • Health Service Clinic/Center
  • El Paso, TX
National Provider Identifier
1487790176
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
DIABETES RELATED EDUCATION & MGMT
Practice address
1576 Lomaland Dr Ste B-1
El Paso, TX 79935-4202
Phone
(915) 772-2007
Fax
(915) 772-2407
NPI assigned
Jan 29, 2007
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
Mr. Eustacio Rivas
Title
Owner
Phone
(915) 772-2007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1576 Lomaland Dr Ste B-1
El Paso, TX 79935-4202

Mailing address

1576 Lomaland Dr Ste B-1
El Paso, TX 79935-4202
Phone (915) 772-2007

Other names 1

  • CENTER FOR DAIBETES Doing business as

National Provider Directory

National Provider Directory

Locations

1576 Lomaland Dr
Ste B1
El Paso, TX 79935
Phone (915) 772-2007

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487790176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 LOMALAND DR STE B-1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354202",
            "telephone_number": "915-772-2007",
            "fax_number": "915-772-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 LOMALAND DR STE B-1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354202",
            "telephone_number": "915-772-2007",
            "fax_number": "915-772-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES RELATED EDUCATION & MGMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "EUSTACIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-772-2007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR DAIBETES",
            "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 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.