MEDICARE: MR. JOSE L RINCON PAC

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
1	363A00000X	Physician Assistant	PA07463	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588951800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSE L RINCON PAC

Provider Business Mailing Address
First Line	:	4815 EXCALIBUR DR #A
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-1203
Country	:	US
Telephone Number	:	915-203-1465
Fax Number	:

Provider Business Practice Location Address
First Line	:	4815 EXCALIBUR DR # A
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-1203
Country	:	US
Telephone Number	:	915-203-1465
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2011
Last Update Date	:	10/30/2012

Similar Medicare Providers

1386124808 — KRISTIN PAGE KASS COTA
Practice Location Address:

200 N FESTIVAL DR APT 1203
EL PASO, TX
79912-6228

Practice Phone: 915-443-1947
Practice Fax:

1275570491 — MR. HA THANH TRINH DPT
Practice Location Address:

1488 EL CAMINO REAL , UNIT 208
SOUTH SAN FRANCISCO, CA
94080-1203

Practice Phone: 323-229-1269
Practice Fax:

1952572810 — DR. STEPHANIE A FITZWILLIAM
Practice Location Address:

COND. EL BOSQUE , APT.1203
GUAYNABO, PR
00971

Practice Phone: 787-593-8380
Practice Fax: 787-720-9464

1154724565 — HA TRINH PHYSICAL THERAPY
Practice Location Address:

1488 EL CAMINO REAL , UNIT 208
SOUTH SAN FRANCISCO, CA
94080-1203

Practice Phone: 323-229-1269
Practice Fax:

1861075608 — MARTHA WHITE
Practice Location Address:

1020 EL PUEBLO RD NW
LOS RANCHOS, NM
87114-1203

Practice Phone: 505-259-9865
Practice Fax:

1225881543 — SOUL ALIGNED HEALTH & WELLNESS LLC
Practice Location Address:

1203 1/2 N EL CENTRO AVE
LOS ANGELES, CA
90038-1705

Practice Phone: 570-780-0069
Practice Fax:

Directions to “ MR. JOSE L RINCON PAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.