Organization Active NPI

Teresa R Pinaroc MD PA

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1710978572
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K4983 Issued in TX
Legal business name
TERESA R PINAROC MD PA
Practice address
11548 Vista del Sol Dr
El Paso, TX 79936
Phone
(915) 613-3741
Fax
(915) 594-0566
NPI assigned
Nov 1, 2005
Last updated
Feb 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Dr. Teresa Rubio Pinaroc, M.D.
Title
President
Phone
(915) 613-3741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X K4983 TX Primary

Addresses

Primary practice location

11548 Vista del Sol Dr
El Paso, TX 79936

Mailing address

PO Box 961509
El Paso, TX 79996-1509
Phone (915) 613-3741

Other identifiers 6

IdentifierTypeStateIssuer
0022JLOtherTXBLUE CROSS BLUE SHIELD TX
5916252OtherTXAETNA
110244615OtherTXRAILROAD MEDICARE
154040301MedicaidTX
08390465OtherTXEL PASO FIRST HEALTH PLAN
8A0578OtherTXMEDICARE,INDIVIDUAL

Other names 1

  • SUN VALLEY MEDICAL CLINIC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051123000461 TX Part B Supplier - Clinic/Group Practice 5496775173 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1006571Teresa R Pinaroc MD PA11548 Vista del Sol Drive, El Paso, TX 79936Provider-performed microscopyNov 24, 2026

National Provider Directory

National Provider Directory

Locations

11548 Vista del Sol Dr
El Paso, TX 79936
Phone (915) 594-0565

2200 N Lee Trevino Dr
Ste A2
El Paso, TX 79936
Phone (915) 351-1790

Interoperability endpoints

  • Direct secure messaging: trpinaroc@direct.sunvalleymedicalclinic.md

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": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1710978572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961509",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799961509",
            "telephone_number": "915-613-3741",
            "fax_number": "915-594-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11548 VISTA DEL SOL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79936",
            "telephone_number": "915-613-3741",
            "fax_number": "915-594-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA R PINAROC MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "PINAROC",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "RUBIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-613-3741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K4983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "0022JL",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5916252",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110244615",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154040301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EL PASO FIRST HEALTH PLAN",
            "identifier": "08390465",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE,INDIVIDUAL",
            "identifier": "8A0578",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUN VALLEY MEDICAL CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 14, 2011; 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.

Verify at the official NPI Registry.