Sergio B Pacheco M.D,P.a

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

F3271 Issued in TX

Legal business name

SERGIO B PACHECO M.D,P.A

Practice address

1900 N Oregon St Ste 410
El Paso, TX 79902-3348

Phone

(915) 532-1922

Fax

(915) 242-0200

NPI assigned

Jun 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sergio Blanco Pacheco Sr., MD

Title

Owner

Phone

(915) 532-1922

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1881914372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N OREGON ST STE 410",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023348",
            "telephone_number": "915-532-1922",
            "fax_number": "915-242-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N OREGON ST STE 410",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023348",
            "telephone_number": "915-532-1922",
            "fax_number": "915-242-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO B PACHECO M.D,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "BLANCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-532-1922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "F3271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0898025-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serene Life Services PLLC
• Serene LLC
• Serenity Equine and Therapeutic Services. Inc
• Serenity Outpatient Services, Inc.
• Sergio a. Alvarado, M.D., P.a.
• Shameia Serles
• Irene Sermeno
• Manuel Alejandro Serna Castillon, MD
• Aime D Serna, M.D.
• Ana Karina Serna, PA-C

• Medical Specialty Clinic/Center in El Paso, TX
• Providers in El Paso, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.