MEDICARE: JERUSALEN MURILLO SLP-ASSISTANT

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	2355S0801X	Speech-Language Assistant	45007	TX

General Provider Information

NPI Number	:	1649122193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JERUSALEN MURILLO SLP-ASSISTANT

Provider Business Mailing Address
First Line	:	1351 N ZARAGOZA RD BLDG H
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-7902
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1351 N ZARAGOZA RD BLDG H
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-7902
Country	:	US
Telephone Number	:	915-257-5782
Fax Number	:

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

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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