Individual provider Active NPI

Luis Manuel Rosales

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1831076843
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1209738 Issued in TX
Practice address
8331 Verde Cir
El Paso, TX 79907-4232
Phone
(915) 504-8302
NPI assigned
Aug 20, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1209738 TX Primary

Addresses

Primary practice location

8331 Verde Cir
El Paso, TX 79907-4232

Mailing address

8331 Verde Cir
El Paso, TX 79907-4232
Phone (915) 504-8302

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251114000562 TX Practitioner - Nurse Practitioner 5294226551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1335 Geronimo Dr
El Paso, TX 79925-1836

8331 Verde Cir
El Paso, TX 79907-4232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1209738TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Y Vida, P.a. CurrentSince Jan 5, 2026 Accepting new patients
Diagnostic Pro Imaging Past Accepting new patients

Locations

1335 Geronimo Dr
El Paso, TX 79925

3329 Montana Ave
El Paso, TX 79903
Phone (915) 562-7101

400 Shadow Mountain Dr
El Paso, TX 79912
Phone (915) 591-2700

Organizations & group practices 2

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": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1831076843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8331 VERDE CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074232",
            "telephone_number": "915-504-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8331 VERDE CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074232",
            "telephone_number": "915-504-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "LUIS",
        "middle_name": "MANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1209738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.