Healthcare Provider Details

I. General information

NPI: 1477488401
Provider Name (Legal Business Name): JAVIER A. URRUTIA ALMAGUER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

C. JUMANOS 1590-LOCAL 6
JUAREZ CHIHUAHUA
32590
MX

IV. Provider business mailing address

6070 GATEWAY BLVD E STE 106
EL PASO TX
79905-2027
US

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone: 619-272-9021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JAVIER A URRUTIA ALMAGUER
Title or Position: DENTIST
Credential: DDS
Phone: 619-272-9022