Organization Active NPI

Marble Rose Enterprises LLC

Doing business as Marble Rose Health

  • General Practice Physician
  • El Paso, TX
National Provider Identifier
1740044049
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MARBLE ROSE ENTERPRISES LLC
Doing business as
Marble Rose Health
Practice address
11351A James Watt Dr Ste B
El Paso, TX 79936-6408
Phone
(915) 479-1254
NPI assigned
Feb 8, 2024
Organization subpart
Yes
Parent organization
MARBLE ROSE ENTERPRISES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Adeto Akomolafe
Title
Managing Member
Phone
(915) 479-1254

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

11351A James Watt Dr Ste B
El Paso, TX 79936-6408

Mailing address

1505 George Dieter Dr Ste 109502
El Paso, TX 79936-7660
Phone (915) 479-1254

Other names 1

  • Marble Rose Health Doing business as

National Provider Directory

National Provider Directory
Part of
Marble Rose Enterprises LLC

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1740044049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 GEORGE DIETER DR STE 109502",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367660",
            "telephone_number": "915-479-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11351A JAMES WATT DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366408",
            "telephone_number": "915-479-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBLE ROSE ENTERPRISES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARBLE ROSE ENTERPRISES LLC",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "AKOMOLAFE",
        "authorized_official_first_name": "ADETO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "915-479-1254"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marble Rose Health",
            "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 Feb 8, 2024; 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.