Individual provider Active NPI

Manuel F Valenzuela, MD

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1851390454
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M1391 Issued in TX
Practice address
6633 N Mesa St Ste 203
El Paso, TX 79912-4422
Phone
(915) 726-2175
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 20030658 NM
Pediatrics Physician 208000000X M1391 TX Primary

Addresses

Primary practice location

6633 N Mesa St Ste 203
El Paso, TX 79912-4422

Mailing address

6633 N Mesa St Ste 203
El Paso, TX 79912-4422
Phone (915) 500-4093

Other practice location 1

12008 Socorro Rd. Ste. A
San Elizario, TX 79849
Phone (915) 500-4093

Other identifiers 2

IdentifierTypeStateIssuer
172867701MedicaidTX
94708266MedicaidNM

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M1391TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manuel F Valenzuela Mdpa Pediatrics PastSince Jan 19, 2020 Accepting new patients
Tenet Hospitals Limited Past Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients

Organizations & group practices 3

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1851390454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 N MESA ST STE 203",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124422",
            "telephone_number": "915-500-4093",
            "fax_number": "915-500-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 N MESA ST STE 203",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124422",
            "telephone_number": "915-726-2175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12008 Socorro Rd. Ste. A",
            "address_purpose": "LOCATION",
            "city": "San Elizario",
            "state": "TX",
            "postal_code": "79849",
            "country_code": "US",
            "telephone_number": "915-500-4093",
            "fax_number": "915-500-4167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "MANUEL",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "20030658",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M1391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172867701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94708266",
            "state": "NM"
        }
    ],
    "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 Dec 10, 2025; 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.