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NPI Code Detail

MEDICARE: MAGDALENO RAFAEL CARDENAS JR. MD

MEDICARE: MAGDALENO RAFAEL CARDENAS JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianQ0739TX
2207R00000XInternal Medicine PhysicianQ0739TX

General Provider Information

NPI Number : 1316369382
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGDALENO RAFAEL CARDENAS JR. MD
Provider Business Mailing Address
First Line : 1373 COPPER GATE PL
Second Line :
City : EL PASO
State : TX
Zip : 79936-7263
Country : US
Telephone Number : 915-667-3548
Fax Number :
Provider Business Practice Location Address
First Line : 12220 RC POE RD STE A
Second Line :
City : EL PASO
State : TX
Zip : 79938-4921
Country : US
Telephone Number : 915-221-0284
Fax Number : 915-221-0289
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2014
Last Update Date : 01/19/2026

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