Individual provider Active NPI

Eduardo Aguirre, AGACNP-BC

  • Acute Care Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1841896032
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1011101 Issued in TX
Practice address
4823 Guadalupe Dr
El Paso, TX 79904-2007
Phone
(915) 820-5709
NPI assigned
Dec 11, 2020
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1011101 TX Primary

Addresses

Primary practice location

4823 Guadalupe Dr
El Paso, TX 79904-2007

Mailing address

4823 Guadalupe Dr
El Paso, TX 79904-2007
Phone (915) 820-5709

Other names 1

  • Eddie Aguirre Other name

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
I20210330001614 TX Practitioner - Nurse Practitioner 5890102305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun City Neuromuscular Rehabilitation PLLCGroup PAC ID 4385970896, 4 clinicians

Practice addresses (Care Compare)

2230 Joe Battle Blvd
El Paso, TX 79938-2619
Phone (915) 298-7222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1011101TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sun City Neuromuscular Rehabilitation PLLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

12660 Pebble Hills Blvd
El Paso, TX 79938
Phone (888) 796-8996

1395 George Dieter Dr
El Paso, TX 79936
Phone (915) 298-7225

2230 Joe Battle Blvd
El Paso, TX 79938
Phone (469) 351-3321

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1841896032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4823 GUADALUPE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799042007",
            "telephone_number": "915-820-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4823 GUADALUPE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799042007",
            "telephone_number": "915-820-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE",
        "first_name": "EDUARDO",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1011101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDDIE",
            "last_name": "AGUIRRE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.