Active NPI
Ysleta del Sur Pueblo
- Federal Public Health Clinic/Center
- El Paso, TX
National Provider Identifier
1891177655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federal Public Health Clinic/Center
- Legal business name
- YSLETA DEL SUR PUEBLO
- Practice address
- 9473 Socorro Rd
El Paso, TX 79907-6832 - Phone
- (915) 858-1076
- Fax
- (915) 860-6166
- NPI assigned
- Jun 29, 2015
- Last updated
- Feb 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin Lopez
- Title
- Director
- Phone
- (915) 858-1076
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1603-1603A | TX | |
| Federal Public Health Clinic/Center | 261QP0904X | Primary |
Addresses
Primary practice location
9473 Socorro Rd
El Paso, TX 79907-6832
Mailing address
9314 Juanchido LN
Ysleta del Sur Pueblo, TX 79907-6832
Phone (915) 860-6124
National Provider Directory
National Provider Directory- Tax ID family
- Ysleta del Sur Pueblo
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Ysleta Del Sur Pueblo Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- El Paso, TX
- NPI 1568196038
-
- Federal Public Health Clinic/Center
- El Paso, TX
- NPI 1144390147
Locations
9314 Juanchido Ln
Ysleta del Sur Pueblo, TX 79907
Phone (915) 858-1076
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- El Paso, TX
- NPI 1902491673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707264000000",
"number": "1891177655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9314 JUANCHIDO LN",
"city": "YSLETA DEL SUR PUEBLO",
"state": "TX",
"postal_code": "799076832",
"telephone_number": "915-860-6124",
"fax_number": "915-860-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9473 SOCORRO RD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799076832",
"telephone_number": "915-858-1076",
"fax_number": "915-860-6166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YSLETA DEL SUR PUEBLO",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-29",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "915-858-1076"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "TX",
"license": "1603-1603A",
"primary": false
},
{
"code": "261QP0904X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, Federal",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.