Organization Active NPI

Dr. Efren Buff de la Rosa, DPM, PA

  • Foot & Ankle Surgery Podiatrist
  • El Paso, TX
National Provider Identifier
1619343241
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
DR. EFREN BUFF DE LA ROSA, DPM, PA
Practice address
114 W Castellano Dr
El Paso, TX 79912-6119
Phone
(915) 532-3721
Fax
(915) 532-3724
NPI assigned
Aug 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Authorized official

Name
Efren De la Rosa, DPMNPI 1295846731
Title
Podiatrist/Owner
Phone
(915) 532-3721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

114 W Castellano Dr
El Paso, TX 79912-6119

Mailing address

114 W Castellano Dr
El Paso, TX 79912-6119
Phone (915) 532-3721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151117001481 TX Part B Supplier - Clinic/Group Practice 0042520306 Receives reassigned benefits from 7 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

1387 George Dieter Dr
Ste 102
El Paso, TX 79936
Phone (915) 532-3721

6955 N Mesa St
Ste 301
El Paso, TX 79912
Phone (915) 581-1133

1387 George Dieter Dr
Ste D102
El Paso, TX 79936
Phone (915) 532-3937

6922 N Mesa St Ste 301C
El Paso, TX 79912

8815 Dyer St
El Paso, TX 79904
Phone (915) 755-7697

8815 Dyer St
Ste 348
El Paso, TX 79904
Phone (915) 532-3721

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1619343241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W CASTELLANO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126119",
            "telephone_number": "915-532-3721",
            "fax_number": "915-532-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W CASTELLANO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126119",
            "telephone_number": "915-532-3721",
            "fax_number": "915-532-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EFREN BUFF DE LA ROSA, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "DE LA ROSA",
        "authorized_official_first_name": "EFREN",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "915-532-3721",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "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 Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.