Active NPI
Paola Cristina Burgos Gallardo
- Certified Registered Nurse Anesthetist
- El Paso, TX
National Provider Identifier
1497593503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1215677
- Practice address
- 1125 Texas Ave
El Paso, TX 79901-1753 - Phone
- (915) 915-5030
- NPI assigned
- Jul 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1215677 | TX | Primary |
| Registered Nurse | 163W00000X | 86421 | PR |
Addresses
Primary practice location
1125 Texas Ave
El Paso, TX 79901-1753
Mailing address
180 Ave Hostos Apt B116
San Juan, PR 00918-4649
Phone (787) 503-9850
Other practice location 1
180 Ave Hostos Apt B116
San Juan, PR 00918-4649
Phone (787) 503-9850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 Murchison Dr
Suite 200
El Paso, TX 79902-4838
Phone (915) 594-9333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86421 | PR | MD | Registered Nurse |
| 1215677 | TX | MD | Certified Registered Nurse Anesthetist |
Organizations & group practices 1
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.
-
- Certified Registered Nurse Anesthetist
- El Paso, TX
- NPI 1205604972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1497593503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 AVE HOSTOS APT B116",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009184649",
"telephone_number": "787-503-9850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 TEXAS AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799011753",
"telephone_number": "915-915-5030"
}
],
"practiceLocations": [
{
"address_1": "180 Ave Hostos Apt B116",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009184649",
"country_code": "US",
"telephone_number": "787-503-9850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGOS GALLARDO",
"first_name": "PAOLA",
"middle_name": "CRISTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-15",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1215677",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "86421",
"primary": false
}
],
"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 Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.