Active NPI
Alfredo Cedillo, LSA
- Surgery Physician
- El Paso, TX
National Provider Identifier
1821135997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- SA0059
- Practice address
- 769 Woodland Ave
El Paso, TX 79922 - Phone
- (915) 587-7888
- Fax
- (915) 587-7888
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | SA0059 | TX | Primary |
Addresses
Primary practice location
769 Woodland Ave
El Paso, TX 79922
Mailing address
769 Woodland Ave
El Paso, TX 79922
Phone (915) 587-7888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010JR | Other | TX | BCBS |
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 |
|---|---|---|---|
| SA0059 | TX | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821135997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "769 WOODLAND AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "79922",
"telephone_number": "915-587-7888",
"fax_number": "915-587-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "769 WOODLAND AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "79922",
"telephone_number": "915-587-7888",
"fax_number": "915-587-7888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEDILLO",
"first_name": "ALFREDO",
"credential": "LSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "SA0059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0010JR",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
- Cec El Paso East ER Physicians PLLC
- Cec El Paso ER Physicians PLLC
- Ceci Burgos Counseling, Inc.
- Cecilia Terres Eternal Youth Home 2
- Karina Lis Cecilio, MD
- Alyssa Mariah Cedillo
- Taylor Brooke Cedillo, PA-C
- Mary Ceglio, SPEECH-LANGUAGE PATH
- Maria Ceja-Bravo, LMSW
- Celestial Personal Assistance Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.