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NPI Code Detail

MEDICARE: MR. MARVIN REMANDABAN DULCE RN

MEDICARE: MR. MARVIN REMANDABAN DULCE RN
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
1163W00000XRegistered Nurse1208739TX

General Provider Information

NPI Number : 1639027998
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARVIN REMANDABAN DULCE RN
Provider Business Mailing Address
First Line : 4724 SEAN SIMS ST
Second Line :
City : EL PASO
State : TX
Zip : 79938-1006
Country : US
Telephone Number : 619-936-6771
Fax Number :
Provider Business Practice Location Address
First Line : 4724 SEAN SIMS ST
Second Line :
City : EL PASO
State : TX
Zip : 79938-1006
Country : US
Telephone Number : 619-936-6771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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