Organization Active NPI

Manuel F Valenzuela Mdpa

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1609205962
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M1391 Issued in TX
Legal business name
MANUEL F VALENZUELA MDPA
Practice address
6633 N Mesa St
Ste 202
El Paso, TX 79912-4427
Phone
(915) 726-2175
Fax
(915) 351-6601
NPI assigned
Nov 7, 2013
Last updated
Nov 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Authorized official

Name
Manuel F Valenzuela, MDPANPI 1851390454
Title
President
Phone
(915) 726-2175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M1391 TX Primary

Addresses

Primary practice location

6633 N Mesa St
Ste 202
El Paso, TX 79912-4427

Mailing address

4849 N Mesa St
Ste 201
El Paso, TX 79912-5916
Phone (915) 351-6600

National Provider Directory

National Provider Directory

Locations

6633 N Mesa St
Ste 202
El Paso, TX 79912
Phone (915) 726-2175

Practitioners & affiliated clinicians

Practitioners 1

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": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1609205962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 N MESA ST",
            "address_2": "STE 201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125916",
            "telephone_number": "915-351-6600",
            "fax_number": "915-351-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 N MESA ST",
            "address_2": "STE 202",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124427",
            "telephone_number": "915-726-2175",
            "fax_number": "915-351-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL F VALENZUELA MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-726-2175",
        "authorized_official_credential": "MDPA"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M1391",
            "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 Nov 7, 2013; 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.