Organization Active NPI

Border Kidney Specialist, PA

  • Nephrology Physician
  • El Paso, TX
National Provider Identifier
1801242458
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
Q3192 Issued in TX
Legal business name
BORDER KIDNEY SPECIALIST, PA
Practice address
2270 Joe Battle Blvd
Suite O
El Paso, TX 79938-2609
Phone
(915) 231-6671
Fax
(915) 231-6681
NPI assigned
May 12, 2016
Last updated
Oct 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Jaime Gonzalez, MD
Title
Owner
Phone
(915) 231-6671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Q3192 TX Primary

Addresses

Primary practice location

2270 Joe Battle Blvd
Suite O
El Paso, TX 79938-2609

Mailing address

2270 Joe Battle Blvd
Suite O
El Paso, TX 79938-2609
Phone (915) 231-6671

National Provider Directory

National Provider Directory

Locations

2270 Joe Battle Blvd
Ste O
El Paso, TX 79938
Phone (915) 231-6671

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1801242458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 JOE BATTLE BLVD",
            "address_2": "SUITE O",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382609",
            "telephone_number": "915-231-6671",
            "fax_number": "915-231-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 JOE BATTLE BLVD",
            "address_2": "SUITE O",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382609",
            "telephone_number": "915-231-6671",
            "fax_number": "915-231-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORDER KIDNEY SPECIALIST, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-231-6671",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "Q3192",
            "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 Oct 7, 2016; 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.