Individual provider Active NPI

Guillermo A. Latiff, M.D.

  • Urology Physician
  • El Paso, TX
National Provider Identifier
1780656843
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
K6080 Issued in TX
Practice address
7420 Remcon Cir
BLDG a
El Paso, TX 79912-3508
Phone
(915) 532-8823
Fax
(915) 225-2015
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X K6080 TX Primary

Addresses

Primary practice location

7420 Remcon Cir
BLDG a
El Paso, TX 79912-3508

Mailing address

7420 Remcon Cir
BLDG a
El Paso, TX 79912-3508
Phone (915) 532-8823

Other identifiers 1

IdentifierTypeStateIssuer
118015001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080804000172 TX Practitioner - Urology 3173697570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Urology PA CurrentSince May 1, 2008 Accepting new patients

Locations

7420 Remcon Cir
El Paso, TX 79912
Phone (915) 532-8823

125 W Hague Rd
Ste 400
El Paso, TX 79902
Phone (915) 225-2455

2201 N Stanton St
El Paso, TX 79902
Phone (915) 533-0800

7420 Remcon Cir
Ste A
El Paso, TX 79912
Phone (915) 225-2023

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1780656843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 REMCON CIR",
            "address_2": "BLDG A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123508",
            "telephone_number": "915-532-8823",
            "fax_number": "915-532-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 REMCON CIR",
            "address_2": "BLDG A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123508",
            "telephone_number": "915-532-8823",
            "fax_number": "915-225-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIFF",
        "first_name": "GUILLERMO",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "K6080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118015001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.