Active NPI
Leticia Reyes Corona
- Adult Care Home Facility
- El Paso, TX
National Provider Identifier
1760896013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- F50025266
- Practice address
- 520 Northwyck Way
El Paso, TX 79928-7222 - Phone
- (915) 691-1857
- NPI assigned
- Jun 15, 2014
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | TX | ||
| Adult Care Home Facility | 311ZA0620X | F50025266 | TX | Primary |
Addresses
Primary practice location
520 Northwyck Way
El Paso, TX 79928-7222
Mailing address
520 Northwyck Way
El Paso, TX 79928-7222
Phone (915) 691-1857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F50025266 | TX | MD | Adult Care Home Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1760896013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 NORTHWYCK WAY",
"city": "EL PASO",
"state": "TX",
"postal_code": "799287222",
"telephone_number": "915-691-1857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 NORTHWYCK WAY",
"city": "EL PASO",
"state": "TX",
"postal_code": "799287222",
"telephone_number": "915-691-1857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES CORONA",
"first_name": "LETICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "TX",
"license": "F50025266",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.