Healthcare Provider Details
I. General information
NPI: 1780856765
Provider Name (Legal Business Name): CODRUTA NICOLETA SONERU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/30/2008
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4845 ALAMEDA AVE
EL PASO TX
79905-2705
US
IV. Provider business mailing address
223 SPRING CREEK LN NE
ALBUQUERQUE NM
87122-2013
US
V. Phone/Fax
- Phone: 915-298-5444
- Fax:
- Phone: 863-680-7000
- Fax: 866-264-8519
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LP3000X |
| Taxonomy | Pediatric Anesthesiology Physician |
| License Number | V3434 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | V3434 |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP3000X |
| Taxonomy | Pediatric Anesthesiology Physician |
| License Number | ME176582 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: