Organization Active NPI

Los Cerros Medical LLC

  • Primary Care Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1902549223
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
LOS CERROS MEDICAL LLC
Practice address
812 N Virginia St Ste 211B
El Paso, TX 79902-5307
Phone
(915) 342-2839
NPI assigned
Apr 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Ricardo Swatts, NPNPI 1679153779
Title
Administrator
Phone
(915) 487-9923

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0805X
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

812 N Virginia St Ste 211B
El Paso, TX 79902-5307

Mailing address

812 N Virginia St Ste 211B
El Paso, TX 79902-5307
Phone (915) 342-2839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220622003254 TX Part B Supplier - Clinic/Group Practice 9739568668 Receives reassigned benefits from 3 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

812 N Virginia St
Ste 211B
El Paso, TX 79902
Phone (915) 218-1930

812 N Virginia St
El Paso, TX 79902

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1902549223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 N VIRGINIA ST STE 211B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025307",
            "telephone_number": "915-342-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 N VIRGINIA ST STE 211B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025307",
            "telephone_number": "915-342-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS CERROS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "SWATTS",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "915-487-9923",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "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 May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.