Socorro Medical Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N3416 Issued in TX

Legal business name

SOCORRO MEDICAL CLINIC LLC

Practice address

10720 N Loop Dr
Suite a
Socorro, TX 79927-4409

Phone

(915) 351-4010

Fax

(915) 309-1816

NPI assigned

Sep 30, 2015

Last updated

May 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adekunle Adedayo Adedeji, MDNPI 1902086937

Title

President

Phone

(915) 351-4010

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Adekunle Adedayo Adedeji, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • El Paso, TX
  • NPI 1902086937
  Medicare reassignment Care Compare group NPD Authorized official
• Santos Javier Aguirre, FNP

  • Primary Care Nurse Practitioner
  • Socorro, TX
  • NPI 1174072797
  Medicare reassignment Care Compare group NPD
• Fabiola Wegmann, FNP

  • Family Nurse Practitioner
  • Socorro, TX
  • NPI 1376355099
  Medicare reassignment Care Compare group NPD
• Melissa Guadalupe Zamora, APRN

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1003678681
  Medicare reassignment Care Compare group NPD
• Olufemi Ayobami Aduroja, M.D., MPH

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1366762874
  Medicare reassignment NPD
• Jesus Enrique Salcido Jr., NP

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1255910188
  Medicare reassignment NPD

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1922478114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221287",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799134287",
            "telephone_number": "915-351-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 N LOOP DR",
            "address_2": "SUITE A",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "799274409",
            "telephone_number": "915-351-4010",
            "fax_number": "915-309-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCORRO MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "ADEDEJI",
        "authorized_official_first_name": "ADEKUNLE",
        "authorized_official_middle_name": "ADEDAYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-351-4010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3416",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Alejandro Rodriguez Ochoa, PHARM.D
• Andrea Ruiz-Figueroa
• SCC Socorro LLC (Las Ventanas de Socorro)
• Socorro Family Pharmacy
• Socorro Health Care, LLC (Las Ventanas de Socorro)
• Stephanie St. Pierre, PHARMD
• Matthew Stafford
• Sunray Family Dentistry PLLC (Sunray Family Dentistry)
• The Lower Valley Pediatric Night Clinic, P.a.
• TK Family Dentistry PLLC (Socorro Family Dental)

• Family Medicine Physician in Socorro, TX
• Providers in Socorro, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.